Malignant transformation of sialadenoma papilliferum of the palate: a case report

We report a case of a 79-year-old woman with an unusual salivary gland tumor that developed at the junction between the soft and hard palates. The tumor consisted of sialadenoma papilliferum (SP) with areas of an epithelial-myoepithelial carcinoma (EMC) component and a high-grade carcinoma component...

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Veröffentlicht in:Virchows Archiv : an international journal of pathology 2004-12, Vol.445 (6), p.641-646
Hauptverfasser: SHIMODA, Masayuki, KAMEYAMA, Kaori, MORINAGA, Shojiroh, TANAKA, Youichi, HASHIGUCHI, Kazuhiro, SHIMADA, Megumi, OKADA, Yasunori
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container_issue 6
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container_title Virchows Archiv : an international journal of pathology
container_volume 445
creator SHIMODA, Masayuki
KAMEYAMA, Kaori
MORINAGA, Shojiroh
TANAKA, Youichi
HASHIGUCHI, Kazuhiro
SHIMADA, Megumi
OKADA, Yasunori
description We report a case of a 79-year-old woman with an unusual salivary gland tumor that developed at the junction between the soft and hard palates. The tumor consisted of sialadenoma papilliferum (SP) with areas of an epithelial-myoepithelial carcinoma (EMC) component and a high-grade carcinoma component. There were also transitional regions among the SP, the EMC and the high-grade carcinoma components. The high-grade carcinoma component, which was similar to invasive micropapillary carcinoma of the breast, infiltrated into the right parapharyngeal space and metastasized to the lungs and cervical vertebrae. The high-grade carcinoma cells were positively immunostained for p53 protein. SP has been considered to be a benign tumor with exceptionally good prognosis, and, to the best of our knowledge, there has never been a confirmed case of malignant SP. This is the first report of SP with a definite malignant component.
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source MEDLINE; SpringerNature Complete Journals
subjects Aged
Biological and medical sciences
Cell Transformation, Neoplastic
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Palatal Neoplasms - pathology
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Salivary Gland Neoplasms - pathology
Tumor Suppressor Protein p53 - analysis
title Malignant transformation of sialadenoma papilliferum of the palate: a case report
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