Schwarz S, Stiegler C, Zenk J, Iro H, Agaimy A
Pathologisches Institut, Universitätsklinikum Erlangen, Krankenhausstr 12, 91054 Erlangen.
Pathologe. 2009 Nov;30(6):472-7. doi: 10.1007/s00292-009-1205-5.
Mucoepidermoid carcinoma (MEC) represents the most common malignant salivary gland tumour. Based on the proportion of their constituent cell types, MECs may display a wide morphological spectrum, thereby mimicking diverse types of other primary salivary gland carcinomas. The correct diagnosis relies on demonstration of classical MEC features, assisted by histochemical and immunohistochemical stains in equivocal cases. The current article aims to demonstrate, on the basis of own observations, how the detection of the MEC-typical t(11, 19) translocation may be of great value in difficult-to-classify cases. The differential diagnosis includes squamous cell carcinoma, clear cell carcinoma and oncocytic neoplasms, as well as highly malignant adenocarcinomas which cannot be further classified.
黏液表皮样癌(MEC)是最常见的涎腺恶性肿瘤。根据其组成细胞类型的比例,MEC可能呈现出广泛的形态学谱,从而模仿其他原发性涎腺癌的多种类型。正确的诊断依赖于经典MEC特征的显示,在疑难病例中可借助组织化学和免疫组织化学染色辅助诊断。本文旨在基于自身观察结果,证明检测MEC典型的t(11, 19)易位在难以分类的病例中可能具有重要价值。鉴别诊断包括鳞状细胞癌、透明细胞癌和嗜酸性细胞瘤,以及无法进一步分类的高恶性腺癌。