De Vicente Rodriguez J C, Lopez Arranz J S, Junquera Gutierrez L M, Alvarez Alvarez I, Garcia-Pola Vallejo M J
Servicio de Cirugia Oral y Maxilofacial, Hospital Universitario Ntra. Sra. de Covadonga.
Rev Eur Odontoestomatol. 1991 Sep-Oct;3(5):333-6.
The adenoid cystic carcinoma of the major and minor salivary glands grows slowly but spreads relentlessly into the surrounding tissues, in particular along the perineural spaces. It may appear clinically to be circumscribed, true encapsulation is lacking and the insidious invasion is demonstrated histologically. Another characteristic of the tumor is a high rate of metastases to distant organs such as lung, bobe or liver. The prognosis relatively poor despite surgical excision. The monomorphic basal cell adenoma of salivary glands is a rare tumor. Its diagnosis is, occasionally, difficult with adenoid cystic carcinoma on the clinical and pathology basis. The authors shown a method for this diagnosis consistent in a morphometric analysis of the neoplasic cells.
大、小涎腺的腺样囊性癌生长缓慢，但会无情地扩散到周围组织，尤其是沿神经周围间隙扩散。临床上它可能看似有边界，但实际上缺乏真正的包膜，组织学检查显示有隐匿性浸润。该肿瘤的另一个特点是远处器官如肺、骨或肝的转移率较高。尽管进行了手术切除，预后相对较差。涎腺单形性基底细胞腺瘤是一种罕见的肿瘤。偶尔，在临床和病理基础上，它与腺样囊性癌的诊断存在困难。作者展示了一种通过对肿瘤细胞进行形态计量分析来进行诊断的方法。
