Difference between revisions of "Salivary glands"

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Salivary glands (view source)

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The '''salivary glands''' help digest food.  ENT surgeons take 'em out and want you to diagnose 'em. [[Cytopathology]] of the salivary glands is covered in the ''[[Head and neck cytopathology]]'' article.
The '''salivary glands''' help digest food.  ENT surgeons take 'em out and want you to diagnose 'em. [[Cytopathology]] of the salivary glands is covered in the ''[[Head and neck cytopathology]]'' article.


=Normal=
=Normal salivary glands=
==Types of salivary glands==
==Types of salivary glands==
Types of glands:<ref>[http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Oral/oral.htm#LABSALIVA http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Oral/oral.htm#LABSALIVA]</ref>
Types of glands:<ref>[http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Oral/oral.htm#LABSALIVA http://www.lab.anhb.uwa.edu.au/mb140/CorePages/Oral/oral.htm#LABSALIVA]</ref>
Line 57: Line 57:
| [[adenoid cystic carcinoma]]
| [[adenoid cystic carcinoma]]
| occ. encapsulated, <br>mixed pop. of glandular, <br>myoepithelial and mesenchymal cells
| occ. encapsulated, <br>mixed pop. of glandular, <br>myoepithelial and mesenchymal cells
| [http://en.wikipedia.org/wiki/File:Pleomorphic_adenoma_(1)_parotid_gland.jpg (WP)]
| [[Image:Pleomorphic_adenoma_(1)_parotid_gland.jpg | thumb | center |150px| PA. (WP)]]
|-
|-
|[[Warthin tumour]]
|[[Warthin tumour]]
Line 67: Line 67:
| [[sebaceous lymphadenoma]]  
| [[sebaceous lymphadenoma]]  
| AKA ''papillary cystadenoma lymphomatosum''
| AKA ''papillary cystadenoma lymphomatosum''
| [http://en.wikipedia.org/wiki/File:Papillary_cystadenoma_lymphomatosum2.jpg (WP)], [http://commons.wikimedia.org/wiki/File:Papillary_cystadenoma_lymphomatosum3.jpg (WP)]  
| [[Image:Papillary_cystadenoma_lymphomatosum2.jpg| thumb| center | 150px| PCL. (WP/Nephron)]]
|-
|-
|[[Basal cell adenoma]]
|[[Basal cell adenoma]]
Line 122: Line 122:
| SCC (?)
| SCC (?)
| IHC: p63+
| IHC: p63+
| [http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_%282%29_HE_stain.jpg (WC)]
| [[Image:Mucoepidermoid_carcinoma_%282%29_HE_stain.jpg |thumb| center| 150px | MEC. (WC)]]
|-
|-
|[[Adenoid cystic carcinoma]] (AdCC)  
|[[Adenoid cystic carcinoma]] (AdCC)  
Line 132: Line 132:
| [[pleomorphic adenoma]], [[PLGA]]  
| [[pleomorphic adenoma]], [[PLGA]]  
| Stains: PAS+ (pseudocyst material), CD117+, cyclin D1+
| Stains: PAS+ (pseudocyst material), CD117+, cyclin D1+
| [http://commons.wikimedia.org/wiki/File:Adenoid_cystic_carcinoma_-_high_mag.jpg (WC)]  
| [[Image:Adenoid_cystic_carcinoma_-_high_mag.jpg|thumb|center|150px| AdCC. (WC/Nephron)]]  
|-
|-
|[[Acinic cell carcinoma]] (AcCC)  
|[[Acinic cell carcinoma]] (AcCC)  
Line 142: Line 142:
| adenocarcinoma not otherwise specified, [[oncocytoma of salivary gland]]
| adenocarcinoma not otherwise specified, [[oncocytoma of salivary gland]]
| Stains: PAS +ve, PAS-D +ve; [[IHC]]: S-100 -ve, p63 -ve
| Stains: PAS +ve, PAS-D +ve; [[IHC]]: S-100 -ve, p63 -ve
| [http://commons.wikimedia.org/wiki/File:Acinic_cell_carcinoma_-_high_mag.jpg (WC)]
| [[Image:Acinic_cell_carcinoma_-_high_mag.jpg | thumb| center|150px| AcCC. (WC/Nephron)]]
|-
|-
|[[Salivary duct carcinoma]]  
|[[Salivary duct carcinoma]]  
Line 152: Line 152:
| metastatic breast carcinoma  
| metastatic breast carcinoma  
| similar to ductal<br>breast carcinoma; male>female
| similar to ductal<br>breast carcinoma; male>female
| [http://commons.wikimedia.org/wiki/File:Salivary_duct_carcinoma_-a-_low_mag.jpg (WC)]
| [[Image:Salivary_duct_carcinoma_-a-_low_mag.jpg | thumb| center|150px | SDC. (WC/Nephron)]]
|-
|-
|[[Polymorphous low-grade adenocarcinoma]]  
|[[Polymorphous low-grade adenocarcinoma]]  
Line 162: Line 162:
| AdCC  
| AdCC  
| minor salivary gland tumour,<br>often in palate,<br> cytologically monotonous; IHC: S100+, CK+, vim.+, GFAP+/-, BCL2+/-
| minor salivary gland tumour,<br>often in palate,<br> cytologically monotonous; IHC: S100+, CK+, vim.+, GFAP+/-, BCL2+/-
| [http://commons.wikimedia.org/wiki/File:Polymorphous_low-grade_adenocarcinoma_-_very_low_mag.jpg (WC)]
| [[Image:Polymorphous_low-grade_adenocarcinoma_-_very_low_mag.jpg|thumb|center|150px|PLGA. (WC/Nephron)]]
|-
|-
| [[Epithelial-myoepithelial carcinoma]]
| [[Epithelial-myoepithelial carcinoma]]
Line 172: Line 172:
| [[AdCC]], [[pleomorphic adenoma]]
| [[AdCC]], [[pleomorphic adenoma]]
| rare
| rare
| [http://commons.wikimedia.org/wiki/File:Epithelial-myoepithelial_carcinoma_-_high_mag.jpg (WC)]
| [[Image:Epithelial-myoepithelial_carcinoma_-_high_mag.jpg |thumb|center|150px|EMCa. (WC/Nephron)]]
|-
|-
| [[Basal cell adenocarcinoma]]
| [[Basal cell adenocarcinoma]]
Line 182: Line 182:
| [[basal cell adenoma]]
| [[basal cell adenoma]]
| rare, usu. parotid gland, may arise from a basal cell adenoma
| rare, usu. parotid gland, may arise from a basal cell adenoma
| [http://commons.wikimedia.org/wiki/File:Basal_cell_adenocarcinoma_-_parotid_gland_-_high_mag.jpg (WC)]
| [[Image:Basal_cell_adenocarcinoma_-_parotid_gland_-_high_mag.jpg|thumb|center|150px|BCA. (WC/Nephron)]]
|}
|}


Line 252: Line 252:
*[[Lymphoma]] - especially [[MALT lymphoma]].<ref name=pmid22475637>{{Cite journal  | last1 = Beasley | first1 = MJ. | title = Lymphoma of the Thyroid and Head and Neck. | journal = Clin Oncol (R Coll Radiol) | volume =  | issue =  | pages =  | month = Apr | year = 2012 | doi = 10.1016/j.clon.2012.02.010 | PMID = 22475637 }}</ref>
*[[Lymphoma]] - especially [[MALT lymphoma]].<ref name=pmid22475637>{{Cite journal  | last1 = Beasley | first1 = MJ. | title = Lymphoma of the Thyroid and Head and Neck. | journal = Clin Oncol (R Coll Radiol) | volume =  | issue =  | pages =  | month = Apr | year = 2012 | doi = 10.1016/j.clon.2012.02.010 | PMID = 22475637 }}</ref>


Image:
====Image====
*[http://commons.wikimedia.org/wiki/File:Chronic_sialadenitis.jpg Chronic sialadenitis (WC)].
<gallery>
 
Image:Chronic_sialadenitis.jpg | Chronic sialadenitis. (WC/Nephron)
</gallery>
==Salivary gland mucocele==
==Salivary gland mucocele==
*[[AKA]] ''salivary mucocele''.
*[[AKA]] ''salivary mucocele''.
Line 280: Line 281:
*[[Signet ring cell carcinoma]] - muciphages may mimic signet ring cells.
*[[Signet ring cell carcinoma]] - muciphages may mimic signet ring cells.


Images:
====Images====
*[http://commons.wikimedia.org/wiki/File:Mucocele_of_lower_lip_%281%29.JPG Mucocele - low mag. (WC/KGH)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Mucocele_of_lower_lip_%282%29.JPG Mucocele - high mag. (WC/KGH)].
Image:Mucocele_of_lower_lip_%281%29.JPG | Mucocele - low mag. (WC/KGH)
*[http://commons.wikimedia.org/wiki/File:Mucocele_-_low_mag.jpg Mucocele - low mag. (WC)].
Image:Mucocele_of_lower_lip_%282%29.JPG | Mucocele - high mag. (WC/KGH)
*[http://commons.wikimedia.org/wiki/File:Mucocele_-_high_mag.jpg Mucocele - high mag. (WC)].
Image:Mucocele_-_low_mag.jpg | Mucocele - low mag. (WC/Nephron)
Image:Mucocele_-_high_mag.jpg | Mucocele - high mag. (WC/Nephron)
</gallery>
www:
*[http://dermatlas.med.jhmi.edu/derm/indexDisplay.cfm?ImageID=292590975 Mucocele (dermatlas.med.jhmi.edu)].
*[http://dermatlas.med.jhmi.edu/derm/indexDisplay.cfm?ImageID=292590975 Mucocele (dermatlas.med.jhmi.edu)].


Line 332: Line 336:
*[[Epithelial-myoepithelial carcinoma]].
*[[Epithelial-myoepithelial carcinoma]].


Images:
====Images====
*[[WC]]:
<gallery>
**[http://commons.wikimedia.org/wiki/File:Pleomorphic_adenoma_%281%29_parotid_gland.jpg PA (WC)].
Image:Pleomorphic_adenoma_%281%29_parotid_gland.jpg | PA. (WC)
**[http://commons.wikimedia.org/wiki/File:Pleomorphic_adenoma_%282%29_parotid_gland.jpg PA (WC)].
Image:Pleomorphic_adenoma_%282%29_parotid_gland.jpg | PA. (WC)
**[http://commons.wikimedia.org/wiki/File:Pleomorphic_adenoma_%283%29_parotid_gland.jpg PA (WC)].
Image:Pleomorphic_adenoma_%283%29_parotid_gland.jpg | PA. (WC)
**[http://commons.wikimedia.org/wiki/File:Pleomorphic_adenoma_%284%29_parotid_gland.jpg PA (WC)].
Image:Pleomorphic_adenoma_%284%29_parotid_gland.jpg | PA. (WC)
*www:
</gallery>
**[http://www.webpathology.com/image.asp?n=7&Case=111 PA - myxoid stroma (webpathology.com)].
www:
*[http://www.webpathology.com/image.asp?n=7&Case=111 PA - myxoid stroma (webpathology.com)].


===IHC===  
===IHC===  
Line 369: Line 374:
*[[Pleomorphic adenoma]].
*[[Pleomorphic adenoma]].


Images:
====Images====
*[http://commons.wikimedia.org/wiki/File:Myoepithelioma_-_intermed_mag.jpg Myoepithelioma - intermed. mag. (WC)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Myoepithelioma_-_very_high_mag.jpg Myoepithelioma - very high mag. (WC)].
Image:Myoepithelioma_-_intermed_mag.jpg | Myoepithelioma - intermed. mag. (WC/Nephron)
 
Image:Myoepithelioma_-_very_high_mag.jpg | Myoepithelioma - very high mag. (WC/Nephron)
</gallery>
===IHC===
===IHC===
Features:<ref name=Ref_DCHH130>{{Ref DCHH|130}}</ref>
Features:<ref name=Ref_DCHH130>{{Ref DCHH|130}}</ref>
Line 491: Line 497:
**Cyst within a lymph node.
**Cyst within a lymph node.


Images:
====Images====
*[http://commons.wikimedia.org/wiki/File:Papillary_cystadenoma_lymphomatosum3.jpg Warthin tumour - high mag. (WC)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Papillary_cystadenoma_lymphomatosum2.jpg Warthin tumour - intermed. mag. (WC)].
Image:Papillary_cystadenoma_lymphomatosum3.jpg | Warthin tumour - high mag. (WC/Nephron)
Image:Papillary_cystadenoma_lymphomatosum2.jpg | Warthin tumour - intermed. mag. (WC/Nephron)
</gallery>


==Sebaceous adenoma==
==Sebaceous adenoma==
Line 514: Line 522:
*Lymphoma.
*Lymphoma.


Images:
====Images====
*[[WC]]:
<gallery>
**[http://commons.wikimedia.org/wiki/File:Sebaceous_lymphadenoma_-_low_mag.jpg Sebaceous lymphadenoma - low mag. (WC)].
Image:Sebaceous_lymphadenoma_-_low_mag.jpg| Sebaceous lymphadenoma - low mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Sebaceous_lymphadenoma_-_high_mag.jpg Sebaceous lymphadenoma - high mag. (WC)].
Image:Sebaceous_lymphadenoma_-_high_mag.jpg| Sebaceous lymphadenoma - high mag. (WC/Nephron)
*www:
</gallery>
**[http://path.upmc.edu/cases/case281.html Sebaceous lymphadenoma (upmc.edu)].
www:
*[http://path.upmc.edu/cases/case281.html Sebaceous lymphadenoma (upmc.edu)].


==Oncocytoma of the salivary gland==
==Oncocytoma of the salivary gland==
Line 533: Line 542:
*Golden brown appearance.
*Golden brown appearance.


Image:
====Image====
*[http://commons.wikimedia.org/wiki/File:Oncocytoma_of_the_Salivary_Gland.jpg Salivary gland oncocytoma (WC/euthman)].
<gallery>
 
Image:Oncocytoma_of_the_Salivary_Gland.jpg | Salivary gland oncocytoma (WC/euthman)
</gallery>
===Microscopic===
===Microscopic===
Features:
Features:
Line 551: Line 561:
*[[Acinic cell carcinoma]].
*[[Acinic cell carcinoma]].


Images:
====Images====
*www:
www:
**[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2807526/figure/Fig1/ Salivary gland oncocytoma (nih.gov)].<ref name=pmid20614263/>
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2807526/figure/Fig1/ Salivary gland oncocytoma (nih.gov)].<ref name=pmid20614263/>
*[[WC]]:
<gallery>
**[http://commons.wikimedia.org/wiki/File:Parotid_gland_oncocytoma_-_intermed_mag.jpg Parotid gland oncocytoma - intermed. mag. (WC)].
Image:Parotid_gland_oncocytoma_-_intermed_mag.jpg | Parotid gland oncocytoma - intermed. mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Parotid_gland_oncocytoma_-_very_high_mag.jpg Parotid gland oncocytoma - very high mag. (WC)].
Image:Parotid_gland_oncocytoma_-_very_high_mag.jpg | Parotid gland oncocytoma - very high mag. (WC/Nephron)
</gallery>


===IHC===
===IHC===
Line 594: Line 605:
*The thought of high-grade MEC should prompt consideration of squamous cell carcinoma.
*The thought of high-grade MEC should prompt consideration of squamous cell carcinoma.


Images:
====Images====
*[[WC]]:
<gallery>
**[http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_%282%29_HE_stain.jpg Mucoepidermoid carcinoma 2 (WC)].
Image:Mucoepidermoid_carcinoma_%282%29_HE_stain.jpg | Mucoepidermoid carcinoma 2. (WC)
**[http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_%283%29_HE_stain.jpg Mucoepidermoid carcinoma 3 (WC)].
Image:Mucoepidermoid_carcinoma_%283%29_HE_stain.jpg | Mucoepidermoid carcinoma 3. (WC)
**[http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_-_2_-_intermed_mag.jpg Mucoepidermoid carcinoma - 2 - intermed. mag. (WC/Nephron)].
Image:Mucoepidermoid_carcinoma_-_2_-_intermed_mag.jpg | Mucoepidermoid carcinoma - 2 - intermed. mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_-_2_-_high_mag.jpg Mucoepidermoid carcinoma - 2 - high mag. (WC/Nephron)].
Image:Mucoepidermoid_carcinoma_-_2_-_high_mag.jpg | Mucoepidermoid carcinoma - 2 - high mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Mucoepidermoid_carcinoma_-_2a_-_very_high_mag.jpg Mucoepidermoid carcinoma - 2 - very high mag. (WC/Nephron)].
Image:Mucoepidermoid_carcinoma_-_2a_-_very_high_mag.jpg | Mucoepidermoid carcinoma - 2 - very high mag. (WC/Nephron)
*www:
</gallery>
**[http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/D2A001-PQ01-M.htm Mucoepidermoid carcinoma (ouhsc.edu)].
www:
*[http://moon.ouhsc.edu/kfung/jty1/opaq/PathQuiz/D2A001-PQ01-M.htm Mucoepidermoid carcinoma (ouhsc.edu)].


====Subtypes====
====Subtypes====
Line 695: Line 707:
*Adenocarcinoma not otherwise specified.<ref name=pmid12608654>{{Cite journal  | last1 = Ihrler | first1 = S. | last2 = Blasenbreu-Vogt | first2 = S. | last3 = Sendelhofert | first3 = A. | last4 = Lang | first4 = S. | last5 = Zietz | first5 = C. | last6 = Löhrs | first6 = U. | title = Differential diagnosis of salivary acinic cell carcinoma and adenocarcinoma (NOS). A comparison of (immuno-)histochemical markers. | journal = Pathol Res Pract | volume = 198 | issue = 12 | pages = 777-83 | month =  | year = 2002 | doi =  | PMID = 12608654 }}</ref>
*Adenocarcinoma not otherwise specified.<ref name=pmid12608654>{{Cite journal  | last1 = Ihrler | first1 = S. | last2 = Blasenbreu-Vogt | first2 = S. | last3 = Sendelhofert | first3 = A. | last4 = Lang | first4 = S. | last5 = Zietz | first5 = C. | last6 = Löhrs | first6 = U. | title = Differential diagnosis of salivary acinic cell carcinoma and adenocarcinoma (NOS). A comparison of (immuno-)histochemical markers. | journal = Pathol Res Pract | volume = 198 | issue = 12 | pages = 777-83 | month =  | year = 2002 | doi =  | PMID = 12608654 }}</ref>


Images:
====Images====
*www:
<gallery>
**[http://www.surgicalpathologyatlas.com/glfusion/mediagallery/media.php?f=0&sort=0&s=20080802170246445 AcCC (surgicalpathologyatlas.com)].
Image:Acinic_cell_carcinoma_-_intermed_mag.jpg | AcCC - intermed. mag. (WC/Nephron)
**[http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/acinic.html AcCC (brown.edu)].
Image:Acinic_cell_carcinoma_-_very_high_mag.jpg | AcCC - very high mag. (WC/Nephron)
**[http://www.aciniccell.org/acc_images14.html AcCC (aciniccell.org)] - image collection.
</gallery>
*[[WC]]:
www:
**[http://commons.wikimedia.org/wiki/File:Acinic_cell_carcinoma_-_intermed_mag.jpg AcCC - intermed. mag. (WC)].
*[http://www.surgicalpathologyatlas.com/glfusion/mediagallery/media.php?f=0&sort=0&s=20080802170246445 AcCC (surgicalpathologyatlas.com)].
**[http://commons.wikimedia.org/wiki/File:Acinic_cell_carcinoma_-_very_high_mag.jpg AcCC - very high mag. (WC)].
*[http://www.brown.edu/Courses/Digital_Path/systemic_path/hn/acinic.html AcCC (brown.edu)].
 
*[http://www.aciniccell.org/acc_images14.html AcCC (aciniccell.org)] - image collection.
====Grading====
====Grading====
General:
General:
Line 766: Line 778:
*[[Pleomorphic adenoma]], esp. if encapsulated.
*[[Pleomorphic adenoma]], esp. if encapsulated.


Images:
====Images====
*[http://commons.wikimedia.org/wiki/File:Adenoid_cystic_carcinoma_-_intermed_mag.jpg AdCC - intermed. mag. (WC)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Adenoid_cystic_carcinoma_-a-_very_high_mag.jpg AdCC - very high mag. (WC)].
Image:Adenoid_cystic_carcinoma_-_intermed_mag.jpg | AdCC - intermed. mag. (WC/Nephron)
Image:Adenoid_cystic_carcinoma_-a-_very_high_mag.jpg | AdCC - very high mag. (WC/Nephron)
</gallery>
www:
*[http://www.nature.com/modpathol/journal/v16/n12/fig_tab/3880915f2.html Adenoid cystic carcinoma (nature.com)].
*[http://www.nature.com/modpathol/journal/v16/n12/fig_tab/3880915f2.html Adenoid cystic carcinoma (nature.com)].


Line 809: Line 824:
*Apocrine snouts - pseudopod-like/lollipop-like undulations of the cell membrane.  
*Apocrine snouts - pseudopod-like/lollipop-like undulations of the cell membrane.  
*Decapitation secretions - apocrine snouts (membrane bound blobs of cytoplasm) that have separated from its mother cell.
*Decapitation secretions - apocrine snouts (membrane bound blobs of cytoplasm) that have separated from its mother cell.
Images:
*[http://commons.wikimedia.org/wiki/File:Salivary_duct_carcinoma_-a-_low_mag.jpg SDC - low mag. (WC)].
*[http://commons.wikimedia.org/wiki/File:Salivary_duct_carcinoma_-_low_mag.jpg SDC - low mag. (WC)].
*[http://commons.wikimedia.org/wiki/File:Salivary_duct_carcinoma_-_high_mag.jpg SDC - high mag. (WC)].
*[http://www.webpathology.com/image.asp?case=122&n=2 Salivary duct carcinoma (webpathology.com)].


Notes:
Notes:
Line 821: Line 830:
DDx:
DDx:
*[[Carcinoma ex pleomorphic adenoma]] with SDC component.
*[[Carcinoma ex pleomorphic adenoma]] with SDC component.
====Images====
<gallery>
Image:Salivary_duct_carcinoma_-a-_low_mag.jpg | SDC - low mag. (WC/Nephron)
Image:Salivary_duct_carcinoma_-_low_mag.jpg | SDC - low mag. (WC/Nephron)
Image:Salivary_duct_carcinoma_-_high_mag.jpg | SDC - high mag. (WC/Nephron)
</gallery>
www:
*[http://www.webpathology.com/image.asp?case=122&n=2 Salivary duct carcinoma (webpathology.com)].


====Subtypes====
====Subtypes====
Line 868: Line 886:
</ref>
</ref>


Images:
====Images====
*[http://commons.wikimedia.org/wiki/File:Polymorphous_low-grade_adenocarcinoma_-_very_low_mag.jpg PLGA - very low mag. (WC)].
<gallery>
*[http://commons.wikimedia.org/wiki/File:Polymorphous_low-grade_adenocarcinoma_high_mag.jpg PLGA - high mag. (WC)].
Image:Polymorphous_low-grade_adenocarcinoma_-_very_low_mag.jpg | PLGA - very low mag. (WC/Nephron)
 
Image:Polymorphous_low-grade_adenocarcinoma_high_mag.jpg | PLGA - high mag. (WC/Nephron)
</gallery>
===IHC===
===IHC===
*S100 +ve, CK +ve, vimentin +ve.
*S100 +ve, CK +ve, vimentin +ve.
Line 949: Line 968:
**Has focal epithelial-myoepithelial carcinoma-like areas.
**Has focal epithelial-myoepithelial carcinoma-like areas.


Images:
====Images====
*www:
<gallery>
**[http://www.pathologyimagesinc.com/sgt-cytopath/epith-myoepith-ca/cytopathology/images-features/emc-rev-cyto1-18.jpg EMCa  (pathologyimagesinc.com)].<ref>{{cite web |url=http://www.pathologyimagesinc.com/sgt-cytopath/epith-myoepith-ca/cytopathology/fs-emc-cytopath-feat.html |title=Cytopathologic Features of
Image:Epithelial-myoepithelial_carcinoma_-_intermed_mag.jpg | EMCa - intermed. mag. (WC/Nephron)
Image:Epithelial-myoepithelial_carcinoma_-_high_mag.jpg | EMCa - high mag. (WC/Nephron)
</gallery>
www:
*[http://www.pathologyimagesinc.com/sgt-cytopath/epith-myoepith-ca/cytopathology/images-features/emc-rev-cyto1-18.jpg EMCa  (pathologyimagesinc.com)].<ref>{{cite web |url=http://www.pathologyimagesinc.com/sgt-cytopath/epith-myoepith-ca/cytopathology/fs-emc-cytopath-feat.html |title=Cytopathologic Features of
Epithelial-myoepithelial Carcinoma |last1= |first1= |last2= |first2= |date= |work= |publisher= |accessdate=January 18, 2011}}</ref>
Epithelial-myoepithelial Carcinoma |last1= |first1= |last2= |first2= |date= |work= |publisher= |accessdate=January 18, 2011}}</ref>
**[http://www.headandneckoncology.org/content/2/1/4 EMCa (headandneckoncology.org)].
*[http://www.headandneckoncology.org/content/2/1/4 EMCa (headandneckoncology.org)].
*[[WC]]:
**[http://commons.wikimedia.org/wiki/File:Epithelial-myoepithelial_carcinoma_-_intermed_mag.jpg EMCa - intermed. mag. (WC)].
**[http://commons.wikimedia.org/wiki/File:Epithelial-myoepithelial_carcinoma_-_high_mag.jpg EMCa - high mag. (WC)].


===IHC===
===IHC===
Line 994: Line 1,014:
*Basaloid [[squamous cell carcinoma]].
*Basaloid [[squamous cell carcinoma]].


Images:
====Images====
*[[WC]]:
<gallery>
**[http://commons.wikimedia.org/wiki/File:Basal_cell_adenocarcinoma_-_parotid_gland_-_intermed_mag.jpg BCAC - intermed. mag. (WC)].
Image:Basal_cell_adenocarcinoma_-_parotid_gland_-_intermed_mag.jpg | BCAC - intermed. mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Basal_cell_adenocarcinoma_-_parotid_gland_-_high_mag.jpg BCAC - high mag. (WC)].
Image:Basal_cell_adenocarcinoma_-_parotid_gland_-_high_mag.jpg | BCAC - high mag. (WC/Nephron)
**[http://commons.wikimedia.org/wiki/File:Basal_cell_adenocarcinoma_-_2_-_parotid_gland_-_high_mag.jpg BCAC - high mag. (WC)].
Image:Basal_cell_adenocarcinoma_-_2_-_parotid_gland_-_high_mag.jpg | BCAC - high mag. (WC/Nephron)
*www:
</gallery>
**[http://www.webpathology.com/image.asp?n=5&Case=115 Basal cell adenocarcinoma - intermed. mag. (webpathology.com)].
www:
**[http://www.webpathology.com/image.asp?n=6&Case=115 Basal cell adenocarcinoma - high mag. (webpathology.com)].
*[http://www.webpathology.com/image.asp?n=5&Case=115 Basal cell adenocarcinoma - intermed. mag. (webpathology.com)].
*[http://www.webpathology.com/image.asp?n=6&Case=115 Basal cell adenocarcinoma - high mag. (webpathology.com)].


===IHC===
===IHC===
Line 1,038: Line 1,059:
*[[Epithelial-myoepithelial carcinoma]].
*[[Epithelial-myoepithelial carcinoma]].


Images:
====Images====
*www:
<gallery>
**[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811632/figure/Fig2/ HCCC (nlm.nih.gov)].
Image:Hyalinizing_clear_cell_carcinoma_-_intermed_mag.jpg | HCCC - intermed. mag. (WC/Nephron)
**[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811632/figure/Fig5/ HCCC (nlm.nih.gov)].<ref name=pmid20596970/>
Image:Hyalinizing_clear_cell_carcinoma_-_very_high_mag.jpg | HCCC - very high mag. (WC/Nephron)
*[[WC]]:
</gallery>
**[http://commons.wikimedia.org/wiki/File:Hyalinizing_clear_cell_carcinoma_-_intermed_mag.jpg HCCC - intermed. mag. (WC)].
www:
**[http://commons.wikimedia.org/wiki/File:Hyalinizing_clear_cell_carcinoma_-_very_high_mag.jpg HCCC - very high mag. (WC)].
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811632/figure/Fig2/ HCCC (nlm.nih.gov)].
 
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2811632/figure/Fig5/ HCCC (nlm.nih.gov)].<ref name=pmid20596970/>
===Stains/IHC===
===Stains/IHC===
*PAS +ve.
*PAS +ve.
Michael
48,536

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