瘤细胞粘膜皮质性瘤的腺癌
Prokopios P Argyris1, Paul E Wakely2
1Division of Oral and Maxillofacial Pathology, The Ohio State University College of Dentistry, Postle Hall, Room 2191, 305 W. 12th Ave, Columbus, OH, USA. argyris.2@osu.edu.
Head and neck pathology
|March 15, 2025
概括
本案例研究详细介绍了粘膜腺癌的细胞变体,一种罕见的唾液腺瘤. 通过成像,细胞学,组织学和分子测试的结合,诊断得到了确认,突出了其独特的特征.
科学领域:
- 在瘤学瘤学.
- 病理学 病理学 病理学
- 遗传学 遗传学 是一个
背景情况:
- 粘膜腺癌 (MEC) 是最常见的唾液腺恶性瘤.
- 瘤细胞变异的MEC是罕见的,并呈现出明显的组织病理特征.
- 准确的诊断对于适当的患者管理和预后至关重要.
研究的目的:
- 为了呈现一种细胞变异性粘膜性皮肤癌的病例.
- 描述其临床放射学,细胞学,组织病理学和免疫类型特征.
- 为了提供诊断的分子确认.
主要方法:
- 图像和精细针吸收 (FNA) 细胞学的一种体质量.
- 手术切除 (口腔切除和淋巴切除) 和组织病理学检查.
- 免疫组织化学 (IHC) 和光在位杂交 (FISH) 用于MAML2重新排列.
主要成果:
- 鉴定出一个具有可疑宫淋巴结的大型鼻质.
- 细胞学显示,细胞细胞具有增加的N/C比率.
- 组织病理学揭示了一个带有瘤细胞,焦点粘膜小囊,缺乏线粒活动和亡的有限瘤.
- 免疫组织化学对AE1/AE3,p63和p40呈阳性,对AR,GATA3,S100,SOX10和Her-2呈阴性.
- 鱼类证实了MAML2的重新安排.
结论:
- 瘤细胞变体MEC可以通过包括成像,细胞学,组织学,IHC和分子分析在内的综合方法来诊断.
- 这个案例说明了这种罕见瘤的关键诊断特征.
- 通过MAML2重组进行分子确认对于确诊至关重要.
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