Cribriform adenocarcinoma of the minor salivary gland

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Cribriform adenocarcinoma of the minor salivary gland
Diagnosis in short
Synonyms cribriform adenocarcioma 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 adenocarcioma of the tongue, abbreviated CAT.

General

  • Rare.
  • Typically tongue - first described there.[2]
  • Good prognosis[1] - on limited data.

Microscopic

Features:

  • Typically covered by an intact squamous epithelium.[1]
  • Growth patterns - cribriform and solid.
  • Cytology similar to papillary thyroid carcinoma.[1]
    • Irregular nuclear membranes (raisin-like nuclei).
    • Nuclear overlap.

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).

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. ↑ 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.
  3. ↑ 3.0 3.1 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.
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