形腺瘤中的非典型和令人担忧的组织学特征:具有挑战性和潜在的重大诊断陷
Reydson Alcides de Lima-Souza1,2, Klára Bělohlávková3, Michal Michal3,4
1Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas (UNICAMP), Piracicaba, São Paulo, Brazil. reydsonalsouza@gmail.com.
Virchows Archiv : an international journal of pathology
|January 18, 2025
概括
形腺瘤 (PAs) 可以模仿恶性瘤由于诸如伪入侵和非典型细胞等特征. 仔细检查至关重要,以区分这些良性瘤与恶性唾液腺瘤.
科学领域:
- 病理学 病理学 病理学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 形腺瘤 (PA) 是最常见的唾液腺瘤.
- 某些PA表现出可以被误认为是恶性瘤的微观特征,这给诊断带来了挑战.
研究的目的:
- 分析形腺瘤中暗示恶性瘤的特征的患病率和特征.
- 要突出诊断陷在区分良性PAs从恶性唾液腺瘤.
主要方法:
- 从 Salivary Gland Tumor Registry (1960-2023) 中对104例多形腺瘤病例进行回顾性分析.
- 评估临床发现,病理特征和分子遗传数据.
- 详细检查伪侵入性,伪恶性细胞形态和与其他恶性瘤的相似性.
主要成果:
- 22.1%的PA显示出伪入侵特征 (例如,卫星结节,囊透).
- 93.3%的人表现出伪性阴性细胞形态 (例如,异型,增多,).
- 28.8%的患者表现出模仿特定恶性瘤的特征 (肌皮癌,腺囊性癌等). ) 的情况.
结论:
- 形腺瘤可以呈现复杂的形状细胞学特征,模仿恶性瘤.
- 准确的诊断需要仔细检查,整合形态,分子和免疫组织化学分析.
- 区分良性PA与恶性唾液腺瘤对于避免误诊至关重要.
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