Oral and Maxillofacial Pathology, Krishnadevaraya College of Dental Sciences, Bangalore, Karnataka, India.
Oral and Maxillofacial Pathology, Krishnadevaraya College of Dental Sciences, Bangalore, Karnataka, India
BMJ Case Rep. 2021 Aug 17;14(8):e243736. doi: 10.1136/bcr-2021-243736.
Minor salivary gland tumours are enigmatic in their behaviour and presentations. Histopathological diagnosis of these tumours encompasses a large spectrum. Conventionally, small nodular tumours of the upper lip or the labial mucosa are generally adenomas, frequently pleomorphic adenomas. Here, we describe a case of a solitary nodular tumour, occurring in the upper labial mucosa, diagnosed as sclerosing polycystic adenoma (SPA) with intraductal epithelial proliferation of high grade. This is a rare lesion, which has entered into the category of salivary gland tumours recently in the 2017 WHO categorisation. We report a case of paucicystic SPA with intraductal epithelial proliferations in the labial minor salivary gland of a 56-year-old woman, which might be the first report of a case occurring in the upper labial mucosa.
小唾液腺肿瘤的行为和表现具有迷惑性。这些肿瘤的组织病理学诊断包含广泛的范围。通常,上唇或唇黏膜的小结节状肿瘤通常是腺瘤,常为多形性腺瘤。在这里,我们描述了一例发生在上唇黏膜的孤立性结节状肿瘤,诊断为伴有高级别导管内上皮增生的硬化性多囊性腺瘤(SPA)。这是一种罕见的病变,在 2017 年 WHO 分类中最近被归入唾液腺肿瘤类别。我们报告了一例发生在 56 岁女性唇小唾液腺的多囊性 SPA 病例,伴有导管内上皮增生,这可能是首例发生在上唇黏膜的病例。