小唾液腺肌上皮瘤1例报告

A. Barbosa, Álvaro Rodrigues, Teresa Corrales, Sónia Viegas
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摘要

肌上皮瘤是一种罕见的唾液腺肿瘤。保守手术是治疗的首选。病例报告:49岁男性,下唇黏膜下肿物,发展超过20年,无进行性生长,出血或疼痛。除有吸烟史(34包年)外,无其他危险因素。体格检查时,患者表现为右侧下唇粘膜下层肿块,可活动,无痛,肿块上方无明显异常粘膜征象。行切除活检,切片呈肾状,尺寸为30 × 16 mm,具有橡胶状一致性。组织学检查显示为小唾液腺肌上皮瘤。讨论:仅由肌上皮细胞构成的肿瘤是罕见的。多数位于腮腺。结论:小唾液腺肌上皮瘤罕见,报告病例有限。多形性腺瘤的鉴别诊断很重要。
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Myoepithelioma of Minor Salivary Gland: A Case Report
Introduction: The myoepithelioma is a rare form of salivary glands tumors. The conservative surgery is the treatment of choice. Case Report: 49 years old male with a submucosa mass of the inferior lip with over 20 years of evolution without progressive growth, bleeding or pain. The patient had no risk factors except history of smoking (34 pack-years). At physical examination the patient presented a consistent submucosa mass of the inferior lip at the right, mobile, painless and without visual signs of abnormal mucosa over the mass. An excisional biopsy was performed and the piece had a reniform shape and rubberish consistency with 30 x16 mm dimension. The histology exam revealed a myoepithelioma of minor salivary gland. Discussion: Tumors with an exclusive constitution of myoepithelial cells are rare. The majority is located at parotid gland. Conclusion: Myoepithelioma of minor salivary glands are rare and the number of reported cases is limited. The differential diagnosis with pleomorphic adenoma is important.
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