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口腔假血管性鳞状细胞癌:关于一例病例的诊断陷阱

Pseudovascular Squamous Cell Carcinoma of the Oral Cavity: A Diagnostic Pitfall About a Case.

作者信息

Derqaoui Sabrine, Elouazzani Hafsa, Boujida Ismail, Sayad Zahra, Zouaidia Fouad, Cherradi Nadia

机构信息

Department of Pathology, Ibn Sina Teaching Hospital, Rabat, Morocco.

Mohamed V University, Rabat, Morocco.

出版信息

Clin Med Insights Case Rep. 2021 Nov 23;14:11795476211060177. doi: 10.1177/11795476211060177. eCollection 2021.

DOI:10.1177/11795476211060177
PMID:34840502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8613885/
Abstract

Squamous cell carcinoma is the most common mucosal malignancy of the head and neck. Adenoid pseudo-angiosarcomatous SCC is a rare variant occurring commonly in the skin of the head and neck. However, involvement of oral cavity is extremely rare, with only few case reports in the English literature. Morphologically, the tumor shows marked acantholysis, with anastomozing channels mimicking vascular neoplasms. This variant represents a diagnostic challenge for pathologists, and immunohistochemical analysis remains essential for an accurate diagnosis. Herein, we describe the case of a pseudovascular SCC of the oral cavity in a 67 years old man with a brief revue of the literature to raise awareness on this rare variant; presenting diagnostic difficulties.

摘要

鳞状细胞癌是头颈部最常见的黏膜恶性肿瘤。腺样假血管肉瘤样鳞状细胞癌是一种罕见的变体,常见于头颈部皮肤。然而,口腔受累极为罕见,英文文献中仅有少数病例报告。形态学上,肿瘤表现出明显的棘层松解,伴有类似血管肿瘤的吻合通道。这种变体对病理学家来说是一个诊断挑战,免疫组化分析对于准确诊断仍然至关重要。在此,我们描述了一名67岁男性口腔假血管性鳞状细胞癌的病例,并简要回顾文献以提高对这种罕见变体的认识,其存在诊断困难。

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本文引用的文献

1
Seven-year disease-free survival in a patient with osteoclast-like giant cell-containing pancreatic undifferentiated carcinoma: a case report and literature review.一名含破骨细胞样巨细胞的胰腺未分化癌患者的七年无病生存期:病例报告及文献综述
Int J Clin Exp Pathol. 2020 Dec 1;13(12):3200-3205. eCollection 2020.
2
Pseudoangiosarcomatous squamous cell carcinoma of the skin: A need for a more rigorous nomenclature for histopathological variants of squamous cell carcinoma.皮肤假血管肉瘤样鳞状细胞癌:对鳞状细胞癌组织病理学变异型采用更严格命名法的必要性。
J Dermatol. 2018 Jan;45(1):76-79. doi: 10.1111/1346-8138.13997. Epub 2017 Aug 16.
3
Histopathological variants of oral squamous cell carcinoma-institutional case reports.
口腔鳞状细胞癌的组织病理学变异——机构病例报告
J Oral Maxillofac Pathol. 2014 Jan;18(1):143-5. doi: 10.4103/0973-029X.131945.
4
Pseudovascular adenoid squamous cell carcinoma of oral cavity: A mimicker of angiosarcoma.口腔假血管腺样鳞状细胞癌:一种血管肉瘤的模仿者。
J Oral Maxillofac Pathol. 2012 May;16(2):288-90. doi: 10.4103/0973-029X.99092.
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Acantholytic squamous cell carcinoma of the gingiva: report of a case and review of the literature.牙龈棘层松解性鳞状细胞癌:一例报告并文献复习
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Oral acantholytic squamous cell carcinoma shares clinical and histological features with angiosarcoma.口腔棘层松解性鳞状细胞癌与血管肉瘤具有共同的临床和组织学特征。
Head Face Med. 2008 Jul 31;4:17. doi: 10.1186/1746-160X-4-17.
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Pseudovascular adenoid squamous-cell carcinoma of the oral cavity--a report of two cases.口腔假血管腺样鳞状细胞癌——两例报告
J Clin Pathol. 2006 Nov;59(11):1206-8. doi: 10.1136/jcp.2005.029553.
8
Fine-needle aspiration cytologic features of pseudovascular adenoid squamous-cell carcinoma of the lung.肺假血管腺样鳞状细胞癌的细针穿刺细胞学特征
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