School of Dentistry, University of Maryland, Baltimore, MD, 21201, USA.
Department of Oral and Maxillofacial Surgery, Fiona Stanley Hospital, Murdoch, WA, Australia.
Head Neck Pathol. 2021 Sep;15(3):945-949. doi: 10.1007/s12105-021-01293-w. Epub 2021 Feb 5.
Canalicular adenoma (CAD) is an uncommon benign tumor of minor salivary glands with predilection for the upper labial mucosa. An 80-year-old female presented with nine submucosal nodules of the upper labial mucosa and bilateral buccal mucosa. Histopathologic examination revealed multifocal circumscribed tumor islands with a tubular growth pattern within a loose hypocellular myxoid background stroma. Interconnecting rows of columnar tumor cells imparted a canalicular morphology. In addition to the characteristic histopathologic findings, a comprehensive immunohistochemical panel supported a final diagnosis of multifocal CAD. Synchronous multifocality in CAD is an infrequent finding and this sine qua non clinicopathologic correlation article exemplifies such a case.
管腺瘤(CAD)是一种罕见的良性小唾液腺肿瘤,好发于上唇黏膜。一位 80 岁女性因上唇黏膜和双侧颊黏膜的九个黏膜下结节就诊。组织病理学检查显示,在疏松的低细胞黏液样基质中存在多灶性界限清楚的肿瘤岛,呈管状生长模式。相互连接的柱状肿瘤细胞呈管腔状。除了特征性的组织病理学发现外,全面的免疫组织化学小组支持多灶性 CAD 的最终诊断。CAD 的同步多灶性是一种罕见的发现,本文通过临床病理相关性分析很好地例证了这种情况。