Artículos de revistas
Plasmacytoid-type Cellular Differentiation In Polymorphous Low-grade Adenocarcinoma
Registro en:
1940-2465
International Journal Of Surgical Pathology. SAGE PUBLICATIONS INC, n. 24, n. 4, p. 322 - 327.
1066-8969
WOS:000376252800007
10.1177/1066896916633848
Autor
dos Santos
HT; de Andrade
BAB; Abu Egal
ES; Castilla
ER; Mariano
FV; Altemani
A
Institución
Resumen
Polymorphous low-grade adenocarcinoma (PLGA) occurs more frequently in minor salivary glands. The diagnosis of PLGA, in general, is not difficult but in occasional tumors showing limited invasion or in small biopsy specimens, PLGA may be confused with cellular pleomorphic adenoma (PA). Plasmacytoid cells, a usual component of PAs, have been considered helpful for correct tumor identification. Objective. The aim of this study was to verify the frequency (if any) of plasmacytoid-type cellular differentiation (PD) in PLGA. Materials and Methods. Thirty-two cases of PLGA were reviewed. PD was recognized in 2 cases (6.25%), in which immunohistochemical expression of AE1/AE3, CK7, CK14, vimentin, -SMA, p63, S-100, calponin, GFAP, and Ki-67 was evaluated. Results. The 2 cases presented conventional areas of PLGA and variable quantities of cells with PD forming aggregates in the stroma and lining ductal structures. Cells with PD showed positivity for AE1/AE3, CK7, S-100, and vimentin and were negative for CK14, calponin, and GFAP in both cases. In case 1, cells with PD did not present -SMA and p63 positivity whereas in case 2 they were positive, but for -SMA such reactivity was restricted to cells forming solid aggregates. Conclusion. Although PD in PLGA is rare, it is necessary to be aware of this possibility, particularly in small incisional biopsies and in PLGA with limited invasion, to avoid confusion with cellular PA. 24
322 327