Wolk Rachelle A, Cipriani Nicole A
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.
Histopathology. 2025 Jan;86(2):183-198. doi: 10.1111/his.15289. Epub 2024 Aug 7.
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.
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。