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腮腺良恶性淋巴上皮病变的组织病理学研究

A histopathologic study of benign and malignant lymphoepithelial lesions of the parotid gland.

作者信息

Nagao K, Matsuzaki O, Saiga H, Akikusa B, Sugano I, Shigematsu H, Kaneko T, Katoh T, Kitamura T, Asano Y, Okamoto M

出版信息

Cancer. 1983 Sep 15;52(6):1044-52. doi: 10.1002/1097-0142(19830915)52:6<1044::aid-cncr2820520620>3.0.co;2-r.

DOI:10.1002/1097-0142(19830915)52:6<1044::aid-cncr2820520620>3.0.co;2-r
PMID:6883273
Abstract

Twenty-three cases of benign and malignant lymphoepithelial lesions without Sjögren's syndrome were examined: 21 were classical benign lymphoepithelial lesions, and were mostly found in males older than 50 years of age. The other two cases were identified as undifferentiated carcinoma arising from benign lymphoepithelial lesion (8.7%; 2/23). Histologically, this carcinoma is characterized by the formation of cell nests of variable size and by marked lymphoplasmacytic infiltrations into the stromal tissue. In immunofluorescence, an increase of plasma cells containing IgA and IgG was noted in the marginal areas of carcinoma cell clusters. Electron microscopy disclosed that the carcinoma was composed of poorly differentiated cells with occasional squamous differentiation. No dysplastic characteristics were found in the infiltrating lymphocytic components. These two cases of carcinoma were found in middle-aged females.

摘要

对23例无干燥综合征的良性和恶性淋巴上皮病变进行了检查:21例为典型的良性淋巴上皮病变,多见于50岁以上男性。另外2例被诊断为起源于良性淋巴上皮病变的未分化癌(8.7%;2/23)。组织学上,这种癌的特征是形成大小不一的细胞巢,并伴有明显的淋巴浆细胞浸润到间质组织中。免疫荧光检查发现,癌细胞簇边缘区域含IgA和IgG的浆细胞增多。电子显微镜检查显示,该癌由分化不良的细胞组成,偶见鳞状分化。浸润的淋巴细胞成分未发现发育异常特征。这2例癌均见于中年女性。

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1
A histopathologic study of benign and malignant lymphoepithelial lesions of the parotid gland.腮腺良恶性淋巴上皮病变的组织病理学研究
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Spindle cell malignant lymphoepithelial lesion of the parotid gland: clinical, light microscopic, ultrastructural, and in situ hybridization findings in one case.腮腺梭形细胞恶性淋巴上皮病变:1例的临床、光镜、超微结构及原位杂交结果
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引用本文的文献

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Lymphoepithelial Carcinoma of Salivary Gland EBV-association in Endemic versus Non-Endemic Patients: A Report of 16 Cases.涎腺淋巴上皮癌 EBV 相关性:在地方性与非地方性患者中的比较:16 例报告。
Head Neck Pathol. 2020 Dec;14(4):1001-1012. doi: 10.1007/s12105-020-01172-w. Epub 2020 May 27.
2
The embryonal carcinoma of the parotid gland. A rare example of an embryonal tumor.腮腺胚胎性癌。一种罕见的胚胎性肿瘤实例。
Virchows Arch A Pathol Anat Histopathol. 1984;403(4):425-40. doi: 10.1007/BF00737291.
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Malignant epithelial tumours associated with autoimmune sialadenitis.
与自身免疫性涎腺炎相关的恶性上皮性肿瘤。
J Clin Pathol. 1986 May;39(5):497-502. doi: 10.1136/jcp.39.5.497.