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Liver metastasis as the initial clinical manifestation of sublingual gland adenoid cystic carcinoma: A case report

World Journal of Clinical Cases 2021年第19期9卷 5238-5244页

作者： Xiao-Hong Li Yu-Tao Zhang Hao Feng Department of Pathology The First People’s Hospital of ZigongZigong 643099Sichuan ProvinceChina Department of Radiology The First People’s Hospital of ZigongZigong 643099Sichuan ProvinceChina

BACKGROUND Adenoid cystic carcinoma(ACC)is a common malignant tumor of salivary *** lung and liver are frequent sites of distant *** metastasis as the initial clinical manifestation of sublingual gland ACC is very *** SUMMARY A 51-year-old Chinese woman presented with a painless mass in the right lobe of *** tumor was composed of ductal cells and myoepithelial cells with a morphology including tubiform and cribriform *** results showed ductal cells positive for CK7,CK14,CK19,CD117,and 34βE12,and negative for MYB,vimentin,ER,PR,and *** myoepithelial cells were positive for p63,calponin and CK5/*** salivary ACC was considered,and a sublingual gland mass was revealed by computed *** evaluation confirmed primary sublingual gland *** in situ hybridization(FISH)did not find an MYB-NFIB fusion gene in specimens from either the primary or metastatic ACC *** sublingual gland ACC relapsed in 20 *** recurrent lesion disappeared following local radiation therapy and computed tomography-guided radioactive seed *** patient remains in good condition until *** Metastatic sublingual gland ACC with initial clinical manifestation as a liver mass is very rare,and was pathologically confirmed in this patient by its histological *** hepatic tumors and metastatic carcinomas should be included in the differential *** detection of MYB protein and MYB-NFIB fusion gene detection by FISH can be helpful,but occasional negative results confuse the diagnosis.

关键词： Liver metastasis Adenoid cystic carcinoma sublingual gland Differential diagnosis Immunohistochemistry Fluorescence in situ hybridization Case report

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