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透明细胞成人横纹肌瘤——一种罕见肿瘤的罕见变体。

Clear cell adult rhabdomyoma-a rare variant of an unusual tumour.

作者信息

Oon Ming Liang, Wu Bingcheng, Lim Rachel, Liew Melvin Kang Ming, Petersson Fredrik

机构信息

Department of Pathology, National University Hospital, Singapore, Singapore.

Department of Dentistry, Ng Teng Fong General Hospital, Singapore, Singapore.

出版信息

Virchows Arch. 2025 Mar;486(3):617-620. doi: 10.1007/s00428-024-03850-4. Epub 2024 Jun 14.

DOI:10.1007/s00428-024-03850-4
PMID:38877358
Abstract

Adult rhabdomyoma is an uncommon benign mesenchymal neoplasm that most often occurs in the head and neck. We present a 70 year-old male with a swelling on the floor of the mouth. Subsequent excision of the tumor revealed a hitherto undescribed morphological variant of this tumor that features a predominance of clear cells, which on light microscopy may mimic other other clear cell tumours of the head and neck region. We perform an in-depth analysis of the morphological and immunohistochemical features of this tumor, as well as discuss pitfalls in the diagnosis of this tumor and its differential diagnosis in the head and neck region.

摘要

成人横纹肌瘤是一种罕见的良性间叶性肿瘤,最常发生于头颈部。我们报告一例70岁男性,其口底有一肿物。随后切除的肿瘤显示出一种迄今未描述过的形态学变异型,其特征为透明细胞占优势,在光学显微镜下可能会与头颈部其他透明细胞肿瘤相混淆。我们对该肿瘤的形态学和免疫组化特征进行了深入分析,并讨论了该肿瘤诊断中的陷阱及其在头颈部的鉴别诊断。

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1
Clear cell adult rhabdomyoma-a rare variant of an unusual tumour.透明细胞成人横纹肌瘤——一种罕见肿瘤的罕见变体。
Virchows Arch. 2025 Mar;486(3):617-620. doi: 10.1007/s00428-024-03850-4. Epub 2024 Jun 14.
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Adult rhabdomyoma with oncocytic changes affecting the floor of the mouth: optical, immunohistochemical, and ultrastructural study.伴有嗜酸性细胞改变的成年口腔底部横纹肌瘤:光学、免疫组织化学及超微结构研究
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Fine-needle aspiration of adult rhabdomyoma: a case report with review of the literature.成人横纹肌瘤的细针穿刺活检:1例病例报告并文献复习
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Rhabdomyoma of the floor of the mouth: a new case and review of recently reported intra-oral rhabdomyomas.口腔底部横纹肌瘤:1例新病例及近期报道的口腔内横纹肌瘤回顾
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[Rhabdomyoma in the head and neck region].[头颈部横纹肌瘤]
Ugeskr Laeger. 2009 Mar 30;171(14):1194.
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Intraoral multifocal adult rhabdomyoma. Report of a case and review of the literature.
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Oral Adult Rhabdomyoma.口腔成人横纹肌瘤。
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Rhabdomyoma of the tonsillar fossa.扁桃体窝横纹肌瘤
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Pitfalls in the diagnosis of adult rhabdomyoma by fine needle aspiration: report of a case and a brief literature review.细针穿刺诊断成人横纹肌瘤的陷阱:1例报告及文献简要回顾
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本文引用的文献

1
Adult-type rhabdomyoma of the thyroid: A case report.甲状腺成人型横纹肌瘤:一例报告。
Front Oncol. 2023 Jan 18;13:1108133. doi: 10.3389/fonc.2023.1108133. eCollection 2023.
2
Rhabdomyoma of the Larynx in a Child with Recurrent Airway Problems.一名患有复发性气道问题儿童的喉横纹肌瘤
Turk Arch Otorhinolaryngol. 2020 Jun;58(2):137-140. doi: 10.5152/tao.2020.4611. Epub 2020 Jun 1.
3
Clear cell changes in salivary gland neoplasms: A 20-year retrospective study.唾液腺肿瘤中的透明细胞改变:一项20年回顾性研究。
Med Oral Patol Oral Cir Bucal. 2017 May 1;22(3):e276-e281. doi: 10.4317/medoral.21570.
4
Actin isoform expression patterns in adult extracardiac and cardiac rhabdomyomas indicate a different cell of origin.成人心脏外和心脏横纹肌瘤中肌动蛋白同工型表达模式表明其起源细胞不同。
Virchows Arch. 2017 Mar;470(3):285-290. doi: 10.1007/s00428-017-2069-3. Epub 2017 Jan 14.
5
Cardiac rhabdomyoma.心脏横纹肌瘤
Cardiovasc Pathol. 2009 Sep-Oct;18(5):313-4. doi: 10.1016/j.carpath.2008.02.002. Epub 2008 Apr 15.
6
Cutaneous clear-cell granular cell tumors: the histologic description of an unusual variant.皮肤透明细胞颗粒细胞瘤:一种罕见变异型的组织学描述。
J Cutan Pathol. 2007 May;34(5):397-404. doi: 10.1111/j.1600-0560.2006.00631.x.
7
Rhabdomyoma of the head and neck: morphology and differential diagnosis.头颈部横纹肌瘤:形态学与鉴别诊断
Virchows Arch. 2005 Nov;447(5):849-54. doi: 10.1007/s00428-005-0038-8. Epub 2005 Aug 18.
8
Uterine epithelioid leiomyosarcomas with clear cells: reactivity with HMB-45 and the concept of PEComa.伴有透明细胞的子宫上皮样平滑肌肉瘤:与HMB-45的反应及血管周上皮样细胞瘤的概念
Am J Surg Pathol. 2004 Feb;28(2):244-9. doi: 10.1097/00000478-200402000-00013.
9
Reactivity of granular cell tumors for inhibin and other markers of sex cord and steroid cell differentiation.颗粒细胞瘤对抑制素及性索和类固醇细胞分化的其他标志物的反应性。
Am J Surg Pathol. 2003 Mar;27(3):413-4. doi: 10.1097/00000478-200303000-00019.
10
Expression of calretinin and the alpha-subunit of inhibin in granular cell tumors.钙视网膜蛋白和抑制素α亚基在颗粒细胞瘤中的表达
Am J Clin Pathol. 2003 Feb;119(2):259-64. doi: 10.1309/GRH4-JWX6-J9J7-QQTA.