이하선에 생긴 경화 점액표피양 암종 1예
Sclerosing Mucoepidermoid Carcinoma of the Parotid Gland
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Sclerosing mucoepidermoid carcinoma of salivary gland is a rare variant of mucoepidermoid carcinoma and can be confused with benign condition on clinical, radiological, and pathologic examination. A 34-year old female was found to have a parotid mass with a long history. Preoperative evaluation including computed tomography and fine needle aspiration cytology were nondiagnostic. Intraoperatively, frozen section specimens showed only low grade tubular lesion with severe background inflammatory infiltration. Final pathological examination demonstrated multiple cystic nests composed of mucinous and squamoid intermediate cells within the background of central dense, sclerotic, collagenized stroma and peripheral inflammatory infiltrate, consistent with a low grade sclerosing mucoepidermoid carcinoma. Sclerosing mucoepidermoid carcinoma is a very rare salivary gland tumor with an uncertain clinical behavior. Complete surgical excision with tumor-free margins is recommended. Postoperative radiation therapy is suggested for positive or close margins, and close follow-up of the patients is mandatory. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1170-3)
Abstract
Sclerosing mucoepidermoid carcinoma of salivary gland is a rare variant of mucoepidermoid carcinoma and can be confused with benign condition on clinical, radiological, and pathologic examination. A 34-year old female was found to have a parotid mass with a long history. Preoperative evaluation including computed tomography and fine needle aspiration cytology were nondiagnostic. Intraoperatively, frozen section specimens showed only low grade tubular lesion with severe background inflammatory infiltration. Final pathological examination demonstrated multiple cystic nests composed of mucinous and squamoid intermediate cells within the background of central dense, sclerotic, collagenized stroma and peripheral inflammatory infiltrate, consistent with a low grade sclerosing mucoepidermoid carcinoma. Sclerosing mucoepidermoid carcinoma is a very rare salivary gland tumor with an uncertain clinical behavior. Complete surgical excision with tumor-free margins is recommended. Postoperative radiation therapy is suggested for positive or close margins, and close follow-up of the patients is mandatory. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:1170-3)
참고문헌 (11)
- Chan JK, "Sclerosing mucoepidermoid tumour of the parotid gland: Report of a case", Histopathology, 11(2), pp.203~207 (1987)
- 김현철, "귀밑샘에 발생한 경화성 점액표피양암종 - 1예 보고 -", The Korean Journal of Pathology, 41(3), pp.193~197 (2007), 대한병리학회
- Heavner SB, "Sclerosing mucoepidermoid carcinoma of the parotid gland", Eur Arch Otorhinolaryngol, 263(10), pp.955~959 (2006)
- Fadare O, "Sclerosing mucoepidermoid carcinoma of the parotid gland", Arch Pathol Lab Med, 128(9), pp.1046~1049 (2004)
- Ide F, "Sclerosing mucoepidermoid carcinoma of the oral cavity", J Oral Pathol Med, 34(3), pp.187~189 (2005)
- Muller S, "Sclerosing mucoepidermoid carcinoma of the parotid", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 83(6), pp.685~690 (1997)
- Sinha SK, "Sclerosing mucoepidermoid carcinoma of minor salivary glands: A case report", Histopathology, 35(3), pp.283~284 (1999)
- Urano M, "Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands", Pathol Res Pract, 198(4), pp.305~310 (2002)
- Veras EF, "Sclerosing mucoepidermoid carcinoma of the salivary glands", Ann Diagn Pathol, 11(6), pp.407~412 (2007)
- Markou K, "Chronic sclerosing sialadenitis mimicking tumors of the salivary glands", Eur J Surg Oncol, 33(10), pp.1207~1208 (2007)
- Di Palma S, "Metaplastic (infarcted) Warthin’s tumour of the parotid gland: A possible consequence of fine needle aspiration biopsy", Histopathology, 35(5), pp.432~438 (1999)