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腮腺涎脂瘤——一种罕见的组织学表现

Sialolipoma of Parotid Gland a Rare Histological Presentation.

作者信息

Shrikrishna B H, Patel Vasim Ismail, Stephan Rohit, Mazhar Md Shafiuddin

机构信息

Department of Otorhinolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur, Karnataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):805-808. doi: 10.1007/s12070-018-1558-2. Epub 2019 Jan 4.

Abstract

Sialolipoma is a rare tumour found within both major and minor salivary glands, it is recently described as a variant of salivary gland lipoma. Sialolipoma was first described by Pusiol et al. (Indian J Pathol Microbiol 52(3):379-382, 2009). Sialolipoma is well circumscribed and contains mature adipose tissue admixed with benign salivary gland component. We report a case of 62 years old female who presented with the complaint of swelling in the right parotid region for 5 years duration. Apart from cosmetic reason she had no other complain. All specific investigations done were inconclusive and suggested a benign tumor. Histopathological examination after superficial parotidectomy suggested sialolipoma. As newly described tumor type, care should be taken to distinguish oncocytic sialolipoma from other salivary gland neoplasms such as simple lipoma, pleomorphic adenoma, or oncocytoma.

摘要

涎腺脂肪瘤是一种罕见的肿瘤,可发生于大、小涎腺,最近被描述为涎腺脂肪瘤的一种变体。涎腺脂肪瘤最早由普西奥尔等人描述(《印度病理学与微生物学杂志》52(3):379 - 382, 2009)。涎腺脂肪瘤边界清晰,包含成熟脂肪组织并混有良性涎腺成分。我们报告一例62岁女性,主诉右侧腮腺区肿胀5年。除美容原因外,她无其他不适。所有进行的特异性检查均无定论,提示为良性肿瘤。浅叶腮腺切除术后的组织病理学检查提示为涎腺脂肪瘤。作为一种新描述的肿瘤类型,应注意将嗜酸性细胞性涎腺脂肪瘤与其他涎腺肿瘤如单纯脂肪瘤、多形性腺瘤或嗜酸性细胞瘤相鉴别。

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