摘要
多形性腺瘤是唾液腺中最常见的良性肿瘤,其组织学形态是多样性的。约25%的多形性腺瘤可伴有鳞化,而伴有广泛鳞化及角化囊肿的病例极其罕见,需要与其他囊性病变、鳞状细胞癌、黏液表皮样癌等进行鉴别。本文报道了1例伴有广泛角化囊肿形成的罕见病例,鳞化及角化囊肿成分约占多形性腺瘤的40%。最终,通过文献复习,笔者总结了伴有广泛角化囊肿的多形性腺瘤的临床病理特征、影像学检查、鉴别诊断、治疗及预后。
Pleomorphic adenoma,which has a diverse histology,is the most common benign tumor in the salivary glands.About 25%of pleomorphic adenoma is associated with squamous metaplasia,while cases with extensive squamous metaplasia and keratin cysts are unusual.Thus,there is a need to differentiate this from other cystic lesions,squamous cell carcinoma,mucoepidermoid carcinoma.In this work,we reported a case characterized by extensive keratin cyst formations.Squamous metaplasia and keratin cyst components account for about 40%of pleomorphic adenomas.Finally,through a literature review,we summarized the clinicopathological features,imaging examinations,differential diagnoses,treatments,and prognosis of pleomorphic adenoma with extensive keratin cysts.
作者
翟晓静
曹石
辛文龙
曹珊
张皓
Zhai Xiaojing;Cao Shi;Xin Wenlong;Cao Shan;Zhang Hao(The First Clinical Medical College of Lanzhou University,Lanzhou 730000,China;Dept.of Pathology,The First Hospital of Lanzhou University,Lanzhou 730000,China;Dept.of Radiology,The First Hospital of Lanzhou University,Lanzhou 730000,China)
出处
《国际口腔医学杂志》
CAS
CSCD
2022年第3期328-331,共4页
International Journal of Stomatology
关键词
多形性腺瘤
伴有广泛角化囊肿的多形性腺瘤
多形性腺瘤伴鳞化
pleomorphic adenoma
pleomorphic adenoma with extensive keratin cyst
pleomorphic adenoma with squamous metaplasia