Tavernier L, Godon A, Algros M-P, Rainfaing E, Chobaut J-C
CHU Jean Minjoz, Service d'ORL et de Chirurgie Cervico-Faciale, 25030 Besancon cedex, France.
Rev Laryngol Otol Rhinol (Bord). 2010;131(4-5):299-302.
On the occasion of the coverage of a cervical tumefaction in a child, which led to the diagnosis of acinic cell carcinoma of ectopic salivary gland, the authors conducted a literature review of this tumour. If it is well known to pathologists when it is developed in the major or accessories salivary glands, its location within heterotopy of salivary tissue is much rarer. From a histological point of view it is difficult to distinguish, if primitive location, the occurrence of the tumour in an ectopic salivary gland, its occurrence in intra-node heterotopic salivary tissue. This distinction between glandular ectopia and intra-node heterotopia remains purely theoretical, and does not affect the therapeutic decision. This one remains empirical and discussed on a case-by-case basis for a malignant tumour that is exceptional in this location and at that age.
在报道一名儿童颈部肿块并诊断为异位涎腺腺泡细胞癌的病例时，作者对该肿瘤进行了文献综述。虽然这种肿瘤发生在大涎腺或小涎腺时病理学家很熟悉，但它发生在涎腺组织异位部位的情况则更为罕见。从组织学角度来看，如果是原发性的，很难区分肿瘤是发生在异位涎腺，还是发生在淋巴结内的异位涎腺组织。腺性异位和淋巴结内异位之间的这种区分仍然纯粹是理论上的，并不影响治疗决策。对于这种在该部位和该年龄罕见的恶性肿瘤，治疗决策仍然是经验性的，需逐案讨论。
