Appendices: Introduction to Histology for first-time learners

Athena Li and Jennifer Kong

A specialized structures on epithelia are glands and ducts.  A gland consists usually of cuboidal or columnar epithelial cells which make and secrete substances.  Glands are classified as endocrine (if secreted directly into the blood) or exocrine if secreting into a duct.  A duct is a passageway which delivers the secretions to the surface of the epithelia.

The major difference between the endocrine and exocrine gland is that, an endocrine gland is missing ducts and stays as blocks of tissue. -Endocrine gland secretes chemical substances directly to the blood stream, while exocrine gland secrets its product into a duct. -Endocrine gland secretes chemical substances directly to the blood stream, while exocrine gland secrets its product into a duct. -The hormones produced by endocrine glands circulate through the blood stream and over the body and act on the target, while products of exocrine gland do not circulate all over the body. - These endocrine glands have relatively large blood supply than exocrine glands. -Exocrine glands have more complex structure than endocrine glands.
Figure 1 – Endocrine and exocrine glands. An endocrine gland is missing ducts and stays as clusters of epithelial tissue (usually cuboidal) that secrete substances directly to the blood stream. Exocrine gland secrets its product into a duct on to the surface of the epithelia. Exocrine glands have more complex structure as ducts can vary in length, shape, and distribution

Since endocrine glands secrete directly into blood, these glands would most likely be cuboidal cells near a blood vessel.  Common endocrine glands are the pancreas (Islets of Langerhans secrete insulin & glucagon), hypothalamus and  anterior pituitary (not an exhaustive list!!)  You will come across these tissues in other chapters.

For the purpose of this appendix, we will focus on exocrine glands and their ducts as they are a tricky structure to identify, as a first time learner.

Exocrine glands

Just like your home with its many rooms, hallways, and doors, exocrine glands and ducts can vary in length, distribution, and complexity.

Simple Tubular Exocrine Gland

This image shows some of the various possible glandular arrangements. These are the simple tubular, simple branched tubular, simple coiled tubular, simple acinar, and simple branched acinar glands.
Figure 2 – This image shows some of the various possible glandular arrangements. The green cells are the multicellular glandular exocrine cells whereas the purple is the ductal cells.  The blue cells are the exposed epithelial surface.  These are (from L to R) the simple tubular, simple branched tubular, simple coiled tubular, simple acinar, and simple branched acinar glands. Note that tubular glands have tube-shaped invaginations whereas acinar are more spherical

As the name implies, simple tubular is a single layer of epithelial tissue which has deep folds or invagination which form its duct.

 

slide of duodenal tissue. Finger like projections are visible with deep folds which are highlighted in blue to note the simple tubular glands.
Figure 3 Simple tubular glands (crypts) are marked out in blue in the duodenum (Slide ID: Path 304 012a, Image ID: 1534 – Duodenum, stain: H&E)

 

Simple Branched tubular

Simple branched tubular is an exocrine gland where there is a single duct but multiple pockets of glandular tissue.  Because of this branching, it is often difficult to capture all of these 3D branches in a 2D section of tissue!

A section of stomach tissue is shown with multiple invaginations visible on the 'free' surface on the bottom of the image. Blue and yellow marks the multiple branches of this simple branched gland.
Figure 4 – H&E stained stomach slide with branched tubular glands marked out in yellow and blue (Slide ID: Path 304 011b, Image ID: 1533 – stomach)

Figure 4 shows branched tubular glands marked out in yellow and blue. The yellow box shows an interesting sample which could be mistaken for two simple tubular glands, but this would be due to the cut of this stomach section.

The possible cut made is visualized below:

 

 

It takes time and practice to recognize simple tubular branched glands compared to simple.  When you have a section with lumens of different circumferences, around prominent tubular shaped lumens – yet the secretory cuboidal/columnar cell looks the same around each lumen space, this is highly suggestive of branched tubular gland. [note the yellow box]

a hand drawn image of a branched tubular gland with a sectional plane bisecting it, revealing lumen sizes of different sizes and shapes
Figure 5. A 2-D visualization of a 3D branched tubular gland with a sectional plane bisecting it, revealing lumen sizes of different sizes and shapes. Created by Athena Li under a CC-BY-NC-ND license.

Coiled tubular

Coiled tubular is similar to simple tubular, except that the curve of the coiled tubule might not get fully captured in the sectioned plane.  If a coiled tubular gland was presented as a cross-section one can imagine a nest of squirmy things, each surrounding a “hole”.

hand drawn illustration of a coiled tubular gland
Figure 6 – hand drawn illustration of a coiled tubular gland by Vincenzo Desiderio

Here’s a helpful analogy:  imagine a garden hose coiled on the ground.  IF you look at the coil from above, it will look like a lot of circles which may (or may not) lie neatly on top of each other.  OR, if the hose is in a tangled mass, the sectional plane would shows cut sections of  small round to oval profiles of varying sizes. If you’re lucky, the plane might go along the length of the hose allowing for a  dominant tube to be seen with lots of coils nearby.

Histology of sweat gland showing stratified cuboidal epithelium
Figure 6 – Histology of eccrine sweat gland of the scalp showing coiled tubular glands with  stratified cuboidal epithelium

Again, it takes time and practice to pick up the visual clues that help determine which gland you are looking at.  But using some of the analogies provided, we hope that this process will be easier for you.

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Pathology Copyright © 2022 by Athena Li and Jennifer Kong is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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