Difference between revisions of "Cribriform adenocarcinoma of the minor salivary gland"

From Libre Pathology
Jump to navigation Jump to search
(fix spelling)
 
(3 intermediate revisions by the same user not shown)
Line 33: Line 33:


It is also known as '''cribriform adenocarcinoma of the tongue''', abbreviated '''CAT'''.
It is also known as '''cribriform adenocarcinoma of the tongue''', abbreviated '''CAT'''.
The ''World Health Organization'' lumps this tumour with [[polymorphous adenocarcinoma]], a decision that is considered "controversial".<ref name=pmid29761209>{{cite journal |authors=Vander Poorten V, Triantafyllou A, Skálová A, Stenman G, Bishop JA, Hauben E, Hunt JL, Hellquist H, Feys S, De Bree R, Mäkitie AA, Quer M, Strojan P, Guntinas-Lichius O, Rinaldo A, Ferlito A |title=Polymorphous adenocarcinoma of the salivary glands: reappraisal and update |journal=Eur Arch Otorhinolaryngol |volume=275 |issue=7 |pages=1681–1695 |date=July 2018 |pmid=29761209 |doi=10.1007/s00405-018-4985-5 |url=}}</ref>


==General==
==General==
Line 42: Line 44:
Features:
Features:
*Typically covered by an intact squamous epithelium.<ref name=pmid21716087>{{Cite journal  | last1 = Skalova | first1 = A. | last2 = Sima | first2 = R. | last3 = Kaspirkova-Nemcova | first3 = J. | last4 = Simpson | first4 = RH. | last5 = Elmberger | first5 = G. | last6 = Leivo | first6 = I. | last7 = Di Palma | first7 = S. | last8 = Jirasek | first8 = T. | last9 = Gnepp | first9 = DR. | title = Cribriform adenocarcinoma of minor salivary gland origin principally affecting the tongue: characterization of new entity. | journal = Am J Surg Pathol | volume = 35 | issue = 8 | pages = 1168-76 | month = Aug | year = 2011 | doi = 10.1097/PAS.0b013e31821e1f54 | PMID = 21716087 }}</ref>
*Typically covered by an intact squamous epithelium.<ref name=pmid21716087>{{Cite journal  | last1 = Skalova | first1 = A. | last2 = Sima | first2 = R. | last3 = Kaspirkova-Nemcova | first3 = J. | last4 = Simpson | first4 = RH. | last5 = Elmberger | first5 = G. | last6 = Leivo | first6 = I. | last7 = Di Palma | first7 = S. | last8 = Jirasek | first8 = T. | last9 = Gnepp | first9 = DR. | title = Cribriform adenocarcinoma of minor salivary gland origin principally affecting the tongue: characterization of new entity. | journal = Am J Surg Pathol | volume = 35 | issue = 8 | pages = 1168-76 | month = Aug | year = 2011 | doi = 10.1097/PAS.0b013e31821e1f54 | PMID = 21716087 }}</ref>
*Growth patterns - cribriform and solid.
*Growth patterns - [[cribriform]] and solid.
*Cytology similar to [[papillary thyroid carcinoma]].<ref name=pmid21716087/>
*Cytology similar to [[papillary thyroid carcinoma]].<ref name=pmid21716087/>
**Irregular nuclear membranes (raisin-like nuclei).
**Irregular nuclear membranes (raisin-like nuclei).
Line 48: Line 50:


DDx:
DDx:
*[[Polymorphous low grade adenocarcinoma]] - morphology more varied.
*[[Polymorphous adenocarcinoma]] (previously polymorphous low-grade adenocarcinoma) - morphology more varied.
*[[Papillary thyroid carcinoma]].
*[[Papillary thyroid carcinoma]].


Line 88: Line 90:


==Referencess==
==Referencess==
{{Reflist|1}}
{{Reflist|2}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
[[Category:Salivary gland]]
[[Category:Salivary gland]]

Latest revision as of 20:23, 25 February 2021

Cribriform adenocarcinoma of the minor salivary gland
Diagnosis in short

Cribriform adenocarcinoma of the minor salivary gland. H&E stain.

Synonyms cribriform adenocarcinoma of the tongue

LM cribriform and solid architecture, cytology similar to papillary thyroid carcinoma (irregular nuclear membranes, nuclear overlap), usually covered by an intact squamous epithelium
LM DDx polymorphous low grade adenocarcinoma, papillary thyroid carcinoma
IHC CK7 +ve, vimentin +ve, CD117 -ve/+ve, S-100 +ve
Site head and neck - usually tongue

Prevalence very rare
Prognosis good
Clin. DDx other salivary gland tumours
Treatment excision

Cribriform adenocarcinoma of the minor salivary gland, abbreviated CAMSG, is a rare malignancy of the salivary gland, typically of the tongue.[1]

It is also known as cribriform adenocarcinoma of the tongue, abbreviated CAT.

The World Health Organization lumps this tumour with polymorphous adenocarcinoma, a decision that is considered "controversial".[2]

General

  • Rare - small case series and case reports.
  • Typically tongue - first described there.[3]
  • Good prognosis[1] - on limited data.

Microscopic

Features:

DDx:

Images

www

IHC

Features:[1]

  • AE1/AE3 +ve (12/12 cases).
  • CAM5.2 +ve (12/12 cases).
  • CK7 +ve (12/12 cases).
  • CK8 +ve (12/12 cases).
  • CK18 +ve (12/12 cases).
  • S-100 +ve (12/12 cases).
  • Vimentin +ve (12/12 cases).
  • CD117 -ve/+ve (5+ve/12 cases).

Molecular

  • Rearrangement of the PRKD genes (PRKD1, PRKD2, PRKD3).[5]

See also

Referencess

  1. 1.0 1.1 1.2 1.3 1.4 Skalova, A.; Sima, R.; Kaspirkova-Nemcova, J.; Simpson, RH.; Elmberger, G.; Leivo, I.; Di Palma, S.; Jirasek, T. et al. (Aug 2011). "Cribriform adenocarcinoma of minor salivary gland origin principally affecting the tongue: characterization of new entity.". Am J Surg Pathol 35 (8): 1168-76. doi:10.1097/PAS.0b013e31821e1f54. PMID 21716087.
  2. Vander Poorten V, Triantafyllou A, Skálová A, Stenman G, Bishop JA, Hauben E, Hunt JL, Hellquist H, Feys S, De Bree R, Mäkitie AA, Quer M, Strojan P, Guntinas-Lichius O, Rinaldo A, Ferlito A (July 2018). "Polymorphous adenocarcinoma of the salivary glands: reappraisal and update". Eur Arch Otorhinolaryngol 275 (7): 1681–1695. doi:10.1007/s00405-018-4985-5. PMID 29761209.
  3. Michal, M.; Skálová, A.; Simpson, RH.; Raslan, WF.; Curík, R.; Leivo, I.; Mukensnábl, P. (Dec 1999). "Cribriform adenocarcinoma of the tongue: a hitherto unrecognized type of adenocarcinoma characteristically occurring in the tongue.". Histopathology 35 (6): 495-501. PMID 10583573.
  4. 4.0 4.1 Michal, M.; Kacerovska, D.; Kazakov, DV. (Jul 2013). "Cribriform adenocarcinoma of the tongue and minor salivary glands: a review.". Head Neck Pathol 7 Suppl 1: S3-11. doi:10.1007/s12105-013-0457-9. PMID 23821209.
  5. Weinreb, I.; Zhang, L.; Tirunagari, LM.; Sung, YS.; Chen, CL.; Perez-Ordonez, B.; Clarke, BA.; Skalova, A. et al. (Oct 2014). "Novel PRKD gene rearrangements and variant fusions in cribriform adenocarcinoma of salivary gland origin.". Genes Chromosomes Cancer 53 (10): 845-56. doi:10.1002/gcc.22195. PMID 24942367.