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下颌下唾液腺基底细胞腺癌——细胞诊断中的问题

Basal cell adenocarcinoma of submandibular salivary gland-problems in cytologic diagnosis.

作者信息

Mardi Kavita, Kaushal Vijay, Asotra Sarita

机构信息

Department of Pathology, Indira Gandhi Medical College, Shimla, India.

出版信息

J Cytol. 2011 Oct;28(4):203-6. doi: 10.4103/0970-9371.86349.

DOI:10.4103/0970-9371.86349
PMID:22090697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3214468/
Abstract

Basal-cell adenoma and basal-cell adenocarcinoma of the salivary gland are rare tumors. Fine-needle aspiration cytology of these tumors, particularly those of basal-cell adenocarcinoma, has rarely been described in the literature. In this report, we describe the clinical, cytomorphologic and histopathologic features of basal cell adenocarcinoma in a 48-year-old male patient. Fine-needle aspiration specimen showed abundant cohesive groups of basaloid cells revealing focal anisonucleosis and nuclear atypia. The tumor cells also showed rosette-like arrangement around central eosinophilic globule. Pertinent literature is reviewed and differential diagnosis are discussed.

摘要

涎腺基底细胞腺瘤和基底细胞腺癌是罕见肿瘤。这些肿瘤的细针穿刺细胞学检查,尤其是基底细胞腺癌的细针穿刺细胞学检查,在文献中很少被描述。在本报告中,我们描述了一名48岁男性患者基底细胞腺癌的临床、细胞形态学和组织病理学特征。细针穿刺标本显示大量紧密聚集的基底样细胞,可见局灶性核大小不一和核异型性。肿瘤细胞还围绕中央嗜酸性小球呈玫瑰花结样排列。回顾了相关文献并讨论了鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/bbd8233abff7/JCytol-28-203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/f25708078771/JCytol-28-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/8b6caea09ce6/JCytol-28-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/bbd8233abff7/JCytol-28-203-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/f25708078771/JCytol-28-203-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/8b6caea09ce6/JCytol-28-203-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b232/3214468/bbd8233abff7/JCytol-28-203-g003.jpg

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本文引用的文献

1
Fine needle aspiration cytology (FNAC) of salivary gland tumours: repeat aspiration provides further information in cases with an unclear initial cytological diagnosis.唾液腺肿瘤的细针穿刺细胞学检查(FNAC):在初始细胞学诊断不明确的病例中,重复穿刺可提供更多信息。
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Basal cell adenocarcinoma of the salivary gland: report of a case with morphology on fine needle aspiration cytology.
Acta Cytol. 2001 Sep-Oct;45(5):775-8. doi: 10.1159/000328304.
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Basal cell adenocarcinoma of the salivary gland: an ultrastructural and immunohistochemical study.涎腺基底细胞腺癌:一项超微结构和免疫组织化学研究。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Apr;87(4):485-92. doi: 10.1016/s1079-2104(99)70249-0.
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Basal cell adenocarcinoma of the salivary gland. Diagnosis by fine-needle aspiration cytology.涎腺基底细胞腺癌。细针穿刺细胞学诊断。
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Basal cell adenocarcinomas of the major salivary glands.大唾液腺基底细胞腺癌
Oral Surg Oral Med Oral Pathol. 1990 Apr;69(4):461-9. doi: 10.1016/0030-4220(90)90380-b.