Laboratory of Medical and Molecular Oncology, Vrije Universiteit Brussel (VUB), Brussels, Belgium.
Department of Cardio and Organ Systems, Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium.
Diagn Pathol. 2023 Aug 30;18(1):98. doi: 10.1186/s13000-023-01385-x.
Heterotopia of the salivary gland occurs mainly in the head and neck region of the human body, rarely in regions such as the rectum, but has never been demonstrated in the pancreas. Within a screening effort of pancreatic samples for detecting ΔNp63 expression, we discovered two pancreatic samples from a 35-year-old male showing salivary gland heterotopia. Immunohistochemical stainings were done for markers of healthy and neoplastic salivary glands and showed expression of calponin, CD142 and KRT14 but not of S100p, GFAP or CD117. A PAS-staining and Alcian Blue staining showed the presence of acid mucins. These staining patterns were consistent with non-neoplastic submandibular gland tissue comprised of abundant seromucous glands, basal cells and myoepithelial cells, all features typically absent in the pancreas. Also, no pancreatic islets of Langerhans were detected. We show for the first time that salivary gland heterotopia can occur at the location of the pancreas.
涎腺异位主要发生在人体的头颈部,很少发生在直肠等部位,但从未在胰腺中得到证实。在对胰腺样本进行ΔNp63 表达检测的筛查过程中,我们发现了两个来自 35 岁男性的胰腺样本,显示涎腺异位。对健康和肿瘤性涎腺标志物进行免疫组织化学染色,结果显示 calponin、CD142 和 KRT14 表达,但 S100p、GFAP 或 CD117 不表达。PAS 染色和 Alcian Blue 染色显示存在酸性粘蛋白。这些染色模式与非肿瘤性颌下腺组织一致,该组织富含浆液粘液腺、基底细胞和肌上皮细胞,所有这些特征通常在胰腺中不存在。也未检测到胰岛。我们首次表明,涎腺异位可发生在胰腺部位。