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[腮腺淋巴结中的原发性涎腺肿瘤。3例报告并文献复习]

[Primary salivary gland tumors in lymph nodes of the parotid gland. Report of 3 cases and review of the literature].

作者信息

Seifert G

机构信息

Institut für Pathologie der Universität, Hamburg.

出版信息

Pathologe. 1997 Mar;18(2):141-6. doi: 10.1007/s002920050202.

Abstract

Multiple intra- and paraglandular lymph nodes develop in the parotid gland, including salivary gland tissue with acinar and ductal formations. In the same way heterotopic salivary gland tissue can be localized in cervical lymph nodes. Except for the frequently occurring Warthin tumours, primary salivary gland tumours, which develop in the lymph nodes of the parotid gland or the cervical lymph nodes, are rare. Examples of these are adenomas (pleomorphic adenoma, basal cell adenoma) and carcinomas (acinic cell carcinoma, mucoepidermoid carcinoma, sebaceous gland carcinoma). Three of our own observations (sebaceous lymphadenoma, acinic cell carcinoma, mucoepidermoid carcinoma) are analysed. The condition for the diagnosis of primary salivary gland tumour within a lymph node is reliable evidence that the salivary gland tissue is tumour-free and that no other occult carcinoma is present.

摘要

腮腺内及腺周有多个淋巴结形成,包括具有腺泡和导管结构的唾液腺组织。同样,异位唾液腺组织可位于颈部淋巴结。除了常见的沃辛瘤外,发生于腮腺淋巴结或颈部淋巴结的原发性唾液腺肿瘤很少见。这些肿瘤包括腺瘤(多形性腺瘤、基底细胞腺瘤)和癌(腺泡细胞癌、黏液表皮样癌、皮脂腺癌)。本文分析了我们自己观察到的3例病例(皮脂腺淋巴腺瘤、腺泡细胞癌、黏液表皮样癌)。诊断淋巴结内原发性唾液腺肿瘤的条件是有可靠证据表明唾液腺组织无肿瘤且不存在其他隐匿性癌。

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