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多形性腺瘤的罕见组织学表现:诊断难题。

Rare histologic presentation of pleomorphic adenoma: A diagnostic dilemma.

作者信息

Radhika T, Maheswari S Uma, Kumar K Senthil, Jeddy Nadeem

机构信息

Department of Oral and Maxillofacial Pathology and Oral Microbiology, Thai Moogambigai Dental College and Hospital, Dr. MGR Educational and Research Institute University, Chennai, Tamil Nadu, India.

Department of Oral and Maxillofacial Surgery, Thai Moogambigai Dental College and Hospital, Dr.MGR Educational and Research Institute University, Chennai, Tamil Nadu, India.

出版信息

J Oral Maxillofac Pathol. 2020 Sep-Dec;24(3):563-567. doi: 10.4103/jomfp.JOMFP_62_20. Epub 2021 Jan 9.

Abstract

Pleomorphic adenoma is the most common benign salivary gland tumor deriving its name from varied morphological patterns in histopathology. The presence of chondromyxoid stroma in histopathology is characteristic of pleomorphic adenoma. Cellular variants without characteristic chondromyxoid stroma are rare and often pose a diagnostic challenge. We report a case of pleomorphic adenoma involving minor salivary glands of the palate presenting with a predominantly cellular histopathology. Immunohistochemical workup was pivotal in the diagnosis of this challenging case.

摘要

多形性腺瘤是最常见的涎腺良性肿瘤,其名称源于组织病理学中的多种形态模式。组织病理学中存在软骨黏液样间质是多形性腺瘤的特征。没有特征性软骨黏液样间质的细胞变体很少见,且常常带来诊断挑战。我们报告一例累及腭部小涎腺的多形性腺瘤,其组织病理学主要表现为细胞型。免疫组织化学检查对这一具有挑战性的病例的诊断起了关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78da/8083414/b7b2b349de7e/JOMFP-24-563-g001.jpg

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