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一项系统评价,包括一篇新增的儿科病例报告:乳腺样分泌癌的儿科病例

A systematic review including an additional pediatric case report: Pediatric cases of mammary analogue secretory carcinoma.

作者信息

Ngouajio Amanda L, Drejet Sarah M, Phillips D Ryan, Summerlin Don-John, Dahl John P

机构信息

Department of Otolaryngology Head and Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.

Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2017 Sep;100:187-193. doi: 10.1016/j.ijporl.2017.07.004. Epub 2017 Jul 6.

Abstract

IMPORTANCE

Mammary Analogue Secretory Carcinoma (MASC) is a newly characterized salivary gland carcinoma resembling secretory carcinoma of the breast. Prior to being described, MASC was most commonly misdiagnosed as Acinic Cell Carcinoma. Though MASC is predominantly an adult neoplasm, cases have been reported in the pediatric population. Reporting and summarizing of known cases is imperative to understand the prognosis and clinical behavior of MASC.

OBJECTIVE

EVIDENCE REVIEW: Web of Science, Medline, EMBASE, and The Cochrane Library were searched for studies that included pediatric cases of MASC. Data on clinical presentation, diagnosis and management, and pathology were collected from all pediatric cases.

FINDINGS

CONCLUSIONS AND RELEVANCE: Since the first case of MASC in the pediatric population was described in 2011, only 12 cases, including this one, have been described in the literature. With this paucity of information, much remains unknown regarding this new pathologic diagnosis. The collection of clinical outcomes data of children with MASC is needed to better understand the behavior of this malignancy as well as determine optimal treatment regimens.

摘要

重要性

乳腺样分泌性癌(MASC)是一种新发现的唾液腺癌,类似于乳腺分泌性癌。在被描述之前,MASC最常被误诊为腺泡细胞癌。尽管MASC主要是一种成人肿瘤,但儿科人群中也有病例报道。报告和总结已知病例对于了解MASC的预后和临床行为至关重要。

目的

证据综述:检索科学网、医学索引数据库、荷兰医学文摘数据库和考克兰图书馆,查找包含儿科MASC病例的研究。从所有儿科病例中收集临床表现、诊断与治疗以及病理数据。

研究结果

结论与相关性:自2011年首次报道儿科人群中的MASC病例以来,包括本病例在内,文献中仅描述了12例。由于信息匮乏,关于这种新的病理诊断仍有许多未知之处。需要收集患有MASC的儿童的临床结局数据,以更好地了解这种恶性肿瘤的行为,并确定最佳治疗方案。

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