Leroy Xavier, Wacrenier Agnès, Augusto David, Leteurtre Emmanuelle, Desaulty Alain, Gosselin Bernard
Service d'Anatomie et de Cytologie Pathologiques, pôle Huriez, CHRU, 59045 Lille, France.
Ann Pathol. 2002 Jun;22(3):219-21.
Lipomatous tumors rarely occur in the salivary glands. We report an unusual case of lipomatous pleomorphic adenoma in a 47-year-old man. The patient had no significant medical history and presented with a well circumscribed nodule measuring 3 cm in the right parotid. Histologically, the tumour was predominantly composed of sheets of mature fat cells. Rare myoepithelial cells and exceptional tubules were intermingled with the mature adipose tissue. One year after surgery the patient was alive without recurrence. In conclusion, it is a rare neoplasm who needs to be recognized and discussed with true fatty tumors and lipomatosis.
脂肪瘤样肿瘤很少发生于涎腺。我们报告一例47岁男性的罕见脂肪瘤样多形性腺瘤病例。该患者无显著病史，右侧腮腺出现一个边界清晰、大小为3厘米的结节。组织学上，肿瘤主要由成片的成熟脂肪细胞组成。罕见的肌上皮细胞和特殊小管与成熟脂肪组织混合存在。手术后一年，患者存活且无复发。总之，这是一种罕见的肿瘤，需要与真正的脂肪肿瘤和脂肪过多症相鉴别并进行讨论。
