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新发现的涎腺肿瘤的最新进展:分子和免疫组化结果及临床意义

Update of newly-recognized salivary gland neoplasms: molecular and immunohistochemical findings and clinical importance.

作者信息

Wolk Rachelle A, Cipriani Nicole A

机构信息

Oral and Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, USA.

Department of Pathology, The University of Chicago, Chicago, IL, USA.

出版信息

Histopathology. 2025 Jan;86(2):183-198. doi: 10.1111/his.15289. Epub 2024 Aug 7.

DOI:10.1111/his.15289
PMID:39108216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11649518/
Abstract

With the advancement of molecular testing and the routine use of immunohistochemical stains, salivary gland tumours previously categorized as adenoma or adenocarcinoma, not otherwise specified, are being reclassified with distinct diagnoses. Newly recognized benign entities include: sclerosing polycystic adenoma, keratocystoma, intercalated duct hyperplasia and adenoma, and striated duct adenoma. Newly recognized malignant salivary gland tumours include: microsecretory adenocarcinoma, sclerosing microcytic adenocarcinoma, and mucinous adenocarcinoma. Additionally, rare subtypes of mucoepidermoid carcinoma have been described, including Warthin-like and oncocytic. Understanding of intraductal carcinoma continues to evolve. Correctly distinguishing these lesions from mimickers can be crucial for appropriate patient care and prognostication, as well as future conceptualization of salivary disease.

摘要

随着分子检测技术的进步以及免疫组织化学染色的常规应用,先前归类为未另行特指的腺瘤或腺癌的涎腺肿瘤正被重新分类并给出明确诊断。新确认的良性实体包括:硬化性多囊性腺瘤、角化囊肿、闰管增生及腺瘤、纹管腺瘤。新确认的涎腺恶性肿瘤包括:微分泌腺癌、硬化性微细胞腺癌和黏液腺癌。此外,还描述了黏液表皮样癌的罕见亚型,包括沃辛瘤样和嗜酸性细胞型。对导管内癌的认识也在不断发展。正确地将这些病变与相似病变区分开来,对于恰当的患者治疗和预后评估,以及涎腺疾病的未来概念化可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/c2c6473234cc/HIS-86-183-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/c2c6473234cc/HIS-86-183-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/23ca907af83b/HIS-86-183-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/7917d604ab8b/HIS-86-183-g004.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/32f20d806de6/HIS-86-183-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/9dd4b26cde9b/HIS-86-183-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/e1fa0714bdd0/HIS-86-183-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/fb8f9722347f/HIS-86-183-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e963/11649518/adc9d8264f85/HIS-86-183-g002.jpg
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Keratocystoma: A Distinctive Salivary Gland Neoplasm Characterized by RUNX2 Rearrangements.角化囊肿:一种具有 RUNX2 重排特征的独特唾液腺肿瘤。
Am J Surg Pathol. 2024 Mar 1;48(3):317-328. doi: 10.1097/PAS.0000000000002169. Epub 2023 Dec 12.
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Palisading Adenocarcinoma: A Morphologically Unique Salivary Gland Tumor With a Neuroendocrine-like Appearance and a Predilection for the Sublingual Glands of Women.
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Am J Surg Pathol. 2023 Oct 1;47(10):1176-1185. doi: 10.1097/PAS.0000000000002091. Epub 2023 Jun 29.
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NKX3.1 Expression and Molecular Characterization of Secretory Myoepithelial Carcinoma (SMCA): Advancing the Case for a Salivary Mucous Acinar Phenotype.NKX3.1 表达和分泌型肌上皮癌(SMCA)的分子特征:支持唾液黏液腺表型的观点。
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