Kurokawa H, Takuma C, Tokudome S, Yamashita Y, Kajiyama M
Second Department of Oral and Maxillofacial Surgery, Kyushu Dental College, Kitakyushu City.
Fukuoka Igaku Zasshi. 1998 Jul;89(7):216-20.
We here in present a very rare case of primary localized amyloidosis with amyloid A protein of the sublingual gland. It presented a tumorous appearance on the left oral floor. Pretreatment with potassium premanganate made biopsy specimens unstained by Congo red. Immunohistochemical staining for AA protein was positive. Systemic amyloidosis was ruled out based on clinical and laboratory examinations. The gastric and the labial salivary glands biopsy showed no amyloid deposits. As far as we know, this is the first case of primary localized amyloidosis with amyloid A protein of the oral cavity, and tumor-formed amyloidosis of the sublingual gland.
我们在此呈现一例极为罕见的原发性局限性淀粉样变性病例,其舌下腺存在淀粉样蛋白A。它在左侧口腔底部呈现出肿瘤样外观。高锰酸钾预处理使活检标本刚果红染色阴性。AA蛋白免疫组化染色呈阳性。基于临床和实验室检查排除了系统性淀粉样变性。胃和唇唾液腺活检未显示淀粉样蛋白沉积。据我们所知,这是首例口腔原发性局限性淀粉样变性伴淀粉样蛋白A以及舌下腺肿瘤样淀粉样变性病例。