Mammary analogue secretory carcinoma involving submandibular gland: Diagnostic pitfall with review of literature.

Nimisha Dhankar, Nidhi Verma, Abhinav Agarwal, Ravi Mehar, Sunil Pasricha
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Abstract

Abstract: Mammary analogue secretory carcinoma (MASC) is a recently defined entity among salivary gland tumors. MASC bores a striking resemblance to secretory carcinoma of breast along with the characteristics of ETV6-NTRK3 translocation. Hence, the entity was designated as MASC and was formally included in the 4th edition of World Health Organization classification of head and neck tumors in 2017. To the best of our knowledge, around 12 cases of MASC have been described in the Indian literature. MASC commonly involves parotid gland (70%). Involvement of submandibular gland is still rarer (7%). Prognosis of MASC is comparable to other low grade salivary gland malignancies; however, aggressive behavior has also been reported in few cases. This case is one of the very few reported cases describing MASC with detailed clinical, cytology, and microscopy findings along with special stains and immunohistochemistry.

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累及颌下腺的乳腺类似物分泌性癌:诊断陷阱与文献综述。
摘要:乳腺类似分泌性癌(MASC)是最近定义的唾液腺肿瘤中的一种。MASC 与乳腺分泌性癌极为相似,同时具有 ETV6-NTRK3 易位的特征。因此,该实体被命名为MASC,并于2017年被正式纳入世界卫生组织第四版头颈部肿瘤分类。据我们所知,印度文献中描述了约12例MASC。MASC通常累及腮腺(70%)。累及颌下腺的病例仍较为罕见(7%)。MASC的预后与其他低度唾液腺恶性肿瘤相当,但也有少数病例报告其具有侵袭性。本病例是极少数报道的 MASC 病例之一,其中包括详细的临床、细胞学和显微镜检查结果,以及特殊染色和免疫组化。
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