Difference between revisions of "Benign lymphoepithelial lesion"

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*CD20, CD3 -- mixed population.
*CD20, CD3 -- mixed population.
*Kappa ~ lambda.
*Kappa ~ lambda.
==Sign out==
<pre>
Right Total Parotid Gland, Excision:
    - Lymphoepithelial lesion/cyst, benign.
    - Two lymph nodes, NEGATIVE for malignancy (0/2).
</pre>
===Micro===
The sections show a multiloculated cyst with thin walls containing bland lymphoid cells and unremarkable paucicellular fibrotic tissue. The lymphoid component has germinal centre formation. The cyst lining is predominantly a simple thin epithelium. Minimal cytoplasm is present in the cyst lining. Focally, the epithelium is multilayered; however, pseudo-bilayering is absent. No significant atypia is present. Proliferative activity is not apparent.


==See also==
==See also==

Revision as of 21:09, 15 December 2021

Benign lymphoepithelial lesion, also known as benign lymphoepithelial cyst, is a rare benign lesion of the head and neck.

It should not be confused the lymphoepithelial lesion found in the GI tract.

General

  • Usually parotid gland.
  • Associated with autoimmune disease, e.g. Sjoegren disease, may not remain benign.[1]

Microscopic

Features:

  • Lymphocytes.
  • Ductal epithelial cells.[2]

Note:

IHC

  • CD20, CD3 -- mixed population.
  • Kappa ~ lambda.

Sign out

Right Total Parotid Gland, Excision:
     - Lymphoepithelial lesion/cyst, benign.
     - Two lymph nodes, NEGATIVE for malignancy (0/2).

Micro

The sections show a multiloculated cyst with thin walls containing bland lymphoid cells and unremarkable paucicellular fibrotic tissue. The lymphoid component has germinal centre formation. The cyst lining is predominantly a simple thin epithelium. Minimal cytoplasm is present in the cyst lining. Focally, the epithelium is multilayered; however, pseudo-bilayering is absent. No significant atypia is present. Proliferative activity is not apparent.

See also

References

  1. Goto, TK.; Shimizu, M.; Kobayashi, I.; Chikui, T.; Kanda, S.; Toshitani, K.; Shiratsuchi, Y.; Yoshida, K. (May 2002). "Lymphoepithelial lesion of the parotid gland.". Dentomaxillofac Radiol 31 (3): 198-203. doi:10.1038/sj/dmfr/4600690. PMID 12058269.
  2. Metwaly, H.; Cheng, J.; Ida-Yonemochi, H.; Ohshiro, K.; Jen, KY.; Liu, AR.; Saku, T. (Jul 2003). "Vascular endothelial cell participation in formation of lymphoepithelial lesions (epi-myoepithelial islands) in lymphoepithelial sialadenitis (benign lymphoepithelial lesion).". Virchows Arch 443 (1): 17-27. doi:10.1007/s00428-003-0824-0. PMID 12761623.