Jäkel K T, Löning T
Institut für Oralpathologie, Zentrum Klinisch-theoretische Medizin I, Universitätsklinikum Eppendorf, Hamburg.
Pathologe. 2004 Feb;25(1):46-55. doi: 10.1007/s00292-003-0672-3.
The diagnosis of basaloid tumors of the salivary glands can be challenging. In most cases, conventional histologic examination, if carried out meticulously, will be sufficient. Yet, immunohistochemistry will be of help for the definition of purely myoepithelial tumors, basaloid squamous cell carcinomas, and canalicular adenomas. The differential diagnosis of canalicular adenoma, basal cell adenoma and basal cell adenocarcinoma, adenoid cystic carcinoma, polymorphous low-grade adenocarcinoma, myoepithelial tumors, epithelial-myoepithelial carcinoma, and basaloid squamous cell carcinoma is discussed.
唾液腺基底样肿瘤的诊断可能具有挑战性。在大多数情况下,常规组织学检查若仔细进行就足够了。然而,免疫组织化学对于纯肌上皮瘤、基底样鳞状细胞癌和小管状腺瘤的诊断有帮助。本文讨论了小管状腺瘤、基底细胞腺瘤和基底细胞腺癌、腺样囊性癌、多形性低度腺癌、肌上皮瘤、上皮-肌上皮癌和基底样鳞状细胞癌的鉴别诊断。