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@#Primary acinic cell carcinoma (ACC) of the lung is extremely rare. The World Health Organization tumor classification defines ACC as "a malignant epithelial neoplasm that demonstrates some cytological differentiation towards (serous) acinar cells". It is considered to be a low-grade malignant tumor. Since the first case described by Fechner in 1972, less than 30 cases have been reported in the literature. The rarity of this tumor may leads it to be confused with other primary lung tumors and incorrectly diagnosed. We reported a female patient with primary ACC of the lung with mediastinum deviation at age of 27 years received a right pneumonectomy. She was followed up for 12 months postoperatively and remains well.
ABSTRACT
Acinic cell carcinoma (ACC) is a low-grade malignant salivary gland neoplasm that comprises approximately 17% of primary salivary gland malignancies or about 6% of all salivary gland neoplasms. The most common intraoral sites are the buccal mucosa, lips, and palate. The diagnosis of ACC frequently presents difficulties, owing to its great radiological and cytological similarity with benign tumors and with normal acinar component of the salivary gland, respectively. The management of ACC consists of complete surgical excision. Here, we report a case of ACC on the left retromolar trigone, a rare location in a 44-year-old female
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ABSTRACT: Multiple salivary gland tumors represent an unusual event characterized by the development of composite lesions originated from minor or major salivary glands. These neoplasms can be categorized into three perspectives: Histologic type, time of appearance and topographic distribution. We report an unusual case of a 73-year-old black man with an acinic cell carcinoma (ACC) of the oral mucosa discovered incidentally during surgical removal of an adjacent mucocele. Approximately one year after the first consultation, the patient was seen at the local cancer reference center with a third lesion that was diagnosed as an adenoid cystic carcinoma (AdCC) of the upper lip. The patient underwent surgical reconstruction of the treated areas and has been free of the disease for the past year. To our knowledge, the combination of ACC and AdCC in intraoral sites has not been reported in the literature.
RESUMEN: Los tumores de glándulas salivales múltiples representan un evento inusual caracterizado por el desarrollo de lesiones compuestas, originadas en glándulas salivales menores o mayores. Estos neoplasmas se pueden categorizar en tres perspectivas: tipo histológico, tiempo de aparición y distribución topográfica. Reportamos un caso inusual de un hombre negro de 73 años con un carcinoma de célula acínica (ACC) de la mucosa oral descubierta incidentalmente durante la extirpación quirúrgica de un mucocele adyacente. Aproximadamente un año después de la primera consulta, el paciente se presentó en el centro de referencia del cáncer local con una tercera lesión que fue diagnosticada como carcinoma adenoide quístico (AdCC) del labio superior. El paciente se sometió a la reconstrucción quirúrgica de las áreas tratadas y durante el último año no ha presentado recurrencia de la enfermedad. De acuerdo a nuestro conocimiento la combinación de ACC y AdCC en sitios intraorales no se ha informado en la literatura.
Subject(s)
Humans , Male , Aged , Salivary Gland Neoplasms/pathology , Neoplasms, Second Primary/mortality , Carcinoma, Acinar Cell/pathology , Carcinoma, Adenoid Cystic/surgery , Radiotherapy , Biopsy , Salivary Gland Neoplasms/therapy , Carcinoma, Acinar Cell/therapy , LipABSTRACT
Acinic cell carcinoma is a relatively rare salivary gland tumor predominantly occurring in the major glands. Therefore, acinic cell carcinoma rarely occurs in the mandible. In this study, a case of primary acinic cell carcinoma of the mandible was reported, and relevant literature was reviewed. The etiology, clinical symptom, image and histological features, diagnosis, treatment, and prognosis of acinic cell carcinoma in the mandible were discussed.
Subject(s)
Humans , Carcinoma, Acinar Cell , Diagnosis , Mandible , Pathology , Prognosis , Salivary Gland Neoplasms , DiagnosisABSTRACT
Acinic cell carcinoma (ACC) is a low-grade malignant salivary neoplasm. In the head and neck region, the parotid gland is the predominant site of origin and women are usually more frequently diagnosed than men. ACCs constitute approximately 6% to 8% of all salivary gland neoplasms, and 17% of primary salivary gland malignancies. ACC has a significant tendency to recur, to produce metastases (cervical lymph nodes and lungs), and may have an aggressive evolution. ACC can be misinterpreted because of its low grade histology, due to its benign appearance, encapsulated tumor, absence of necrosis and histologically similar to the normal parotid gland. Histopathologist should be aware and very vigilant while reporting this entity.
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Mammary analogue secretory carcinoma (MASC) of the salivary gland is a malignant tumor which bears morphologic, immunohistochemical and molecular features similar to those of mammary secretory carcinoma. The tumor is considered as a low-grade malignancy perhaps slightly more aggressive than acinic cell carcinoma. High-grade transformation with recurrences, regional nodal involvement, metastases, and cancer-related death has been reported in a few cases. We report an unusual case of large MASC of the parotid gland in a young patient without regional lymph node involvement. To the best of our knowledge till date such a large MASC of the salivary gland has not been reported in the English literature.
ABSTRACT
Acinic cell carcinoma (ACC) is a low-grade malignancy of salivary gland that constitutes approximately 17% of primary salivary gland malignancies. ACC predominantly occurs in the parotid gland. The higher incidence in the parotid gland seems to be related with the serous acinar cells of the glands, while the sublingual gland is a mixed gland, predominantly mucinous. Therefore, ACCs which originated in the sublingual gland are very rare and till now only 8 cases have been reported in the literature. Recently, we experienced a case of ACC which was found incidentally in the surgical specimen of a ranula arising in the sublingual gland. The finding of this case suggests that the early pathological diagnosis is needed to clarify the reasons for the recurrence of a ranula.
Subject(s)
Acinar Cells , Carcinoma, Acinar Cell , Diagnosis , Incidence , Mucins , Parotid Gland , Ranula , Recurrence , Salivary Glands , Sublingual GlandABSTRACT
Acinic Cell Carcinoma (ACC) was previously called acinic cell tumor and it is a neoplasm demonstrating cytological differentiation towards serous acinar cells. The histological architecture of ACC is diverse and classification consists of various histological subtypes. This is a case of acinic cell carcinoma of parotid gland in a 45 years female patient which showed predominant follicular variant of ACC. It is a least frequent variant of ACC occurring in only 5% and it mimics follicular neoplasm of thyroid.
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Acinic cell carcinoma (ACC) is an uncommon malignant tumor of the salivary glands that is difficult to diagnose. It grows slowly and shows distant metastasis rarely. We experienced a case of recurrent ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy. The 29-year-old man had been suffering from severe multiple bones and joints pain for 2 months. Ten years earlier, he underwent superficial parotidectomy due to a right subauricular mass. The mass was diagnosed with ACC. After surgery, the tumor recurred twice. Then the patient was diagnosed with cardiac metastasis via positron emission tomography-computed tomography and trans-thoracic echocardiography. He also had hypertrophic osteoarthropathy with multiple bone metastasis. He was given palliative radiotherapy and conservative treatment. ACC in the parotid gland with cardiac metastasis and hypertrophic osteoarthropathy has not yet been reported in literature. From this case, it is recommended to evaluate multiple distant metastasis in the ACC of the parotid gland when joint and bone pain are present.
Subject(s)
Adult , Humans , Carcinoma, Acinar Cell , Echocardiography , Electrons , Joints , Neoplasm Metastasis , Parotid Gland , Parotid Neoplasms , Radiotherapy , Salivary GlandsABSTRACT
Acinic cell carcinoma (ACC) of the breast is extremely rare and is characterized by widespread acinar cell-like differentiation. We report of a 39-year-old woman presented with a palpable breast mass with significant morphological, immunohistochemical and ultrastructural findings. Histologically, ACC showed a diffuse glandular infiltrative pattern, with small acinar or glandular structures mixed with solid nests. Neoplastic cells were monotonous proliferation of cells with a granular or clear cytoplasm, resembling acinar cells of the salivary glands or Paneth cells. Both glandular and solid tumor cell populations were strongly positive for lysozyme and alpha-1-antitrypsin.
Subject(s)
Adult , Female , Humans , Acinar Cells , Breast , Breast Neoplasms , Carcinoma, Acinar Cell , Cytoplasm , Immunohistochemistry , Microscopy, Electron , Muramidase , Paneth Cells , Salivary GlandsABSTRACT
OBJECTIVES: Acinic cell carcinoma (AciCC) is a rarely encountered malignancy in parotid gland. Because AciCC is rare and was recently recognized as the entity of malignancy, AciCC has been difficult to study. We aimed to analyze the diagnosis and treatment experience for this malignancy in our hospital. METHODS: We retrospectively reviewed medical records of the 20 patients with AciCC of parotid gland diagnosed from 1990 to 2009. The preoperative computed tomography scan, preoperative fine needle aspiration cytology (FNAC) and intraoperative frozen section results were compared with the final diagnosis. The survival and recurrence were analyzed with the cancer stages and treatment modalities. RESULTS: There were 10 males and 10 females, with a mean age of 44.4 years, ranging 8-77 years. The AJCC tumor stage distributions of the patients were 70%, 15%, and 15% for stages I, II, and IV, respectively. The sensitivity of FNAC and intraoperative frozen section was 26.7% and 50.0% respectively. The 10-year survival rate was 90.9% with a mean follow-up of 111 months, ranging 17-251 months. The 10-year disease free survival rate was 74.2% and the mean duration of recurrence from initial surgery was 92.3 months. CONCLUSION: AciCC of the parotid gland is a rare malignancy that has features of less aggressive behavior, and good prognosis. Intraoperative frozen section examination may be helpful in the diagnosis of AciCC of the parotid gland because of the low sensitivity of preoperative computed tomography scan and FNAC. Surgery with adjuvant postoperative radiotherapy is satisfactory for disease control.
Subject(s)
Female , Humans , Male , Acinar Cells , Biopsy, Fine-Needle , Carcinoma, Acinar Cell , Disease-Free Survival , Follow-Up Studies , Frozen Sections , Medical Records , Parotid Gland , Parotid Neoplasms , Prognosis , Recurrence , Retrospective Studies , Salivary Gland Neoplasms , Survival RateABSTRACT
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Humans , Male , Middle Aged , Acinar Cells , Biopsy , Carcinoma, Acinar Cell , Diagnosis , Maxillary Sinus , Odontogenic Tumors , RecurrenceABSTRACT
Acinic cell carcinoma(ACC) is the third common malignancy in major salivary gland. Fine needle aspiration cytology is a useful tool for the diagnosis of salivary gland lesions. However, some low grade malignancies, such as ACC and mucoepidermoid carcinoma show relatively high false negative rate, mainly due to deceptively benign cytomorphologic appearance. We experienced a papillary-cystic variant of ACC, having different cytopathologic features compared with those of classic ACC. Our case showed monolayered sheets and papillary clusters without any acinic structures or naked nuclei of the tumor cells. Foamy proteinaceous material was seen in the background. The tumor cells had a large amount of granular cytoplasm and eccentric nuclei. Many vacuolated or clear cells were also noted.
Subject(s)
Acinar Cells , Biopsy, Fine-Needle , Carcinoma, Acinar Cell , Carcinoma, Mucoepidermoid , Cytoplasm , Diagnosis , Salivary GlandsABSTRACT
Acinic cell carcinoma is a rare salivary gland carcinoma, usually being found in the parotid gland and is uncommon in the other major and minor salivary glands. The tumor cells consist of either serous or mucous acinar cells with few ductal or myoepithelial cell elements. The tumor is a low-grade malignancy with slow growth potential. Surgical therapy depends on tumor size and the extent of infiltration into neighboring tissues. Superficial parotidectomy or total parotidectomy is the initial method of therapy in case of acinic cell carcinoma on parotid gland. When regional neck lymph nodes are involved, the operation is combined with a neck dissection, or with radiation therapy. In the short follow up period, acinic cell carcinoma has good prognosis with 5 year survival rate after surgery is over 80%. In the long-term follow-up, however, there is a tendency to increase in recurrence or metastasis. We experienced a case of acinic cell carcinoma of the parotid gland in a 57-year-old female, so we report it with literatures review.
Subject(s)
Female , Humans , Middle Aged , Acinar Cells , Carcinoma, Acinar Cell , Follow-Up Studies , Lymph Nodes , Neck , Neck Dissection , Neoplasm Metastasis , Parotid Gland , Prognosis , Recurrence , Salivary Glands , Salivary Glands, Minor , Survival RateABSTRACT
The acinic cell carcinoma (ACC) is very rare in the nasal cavity. A 57-year-old woman suffered from nasal obstruction, postnasal dripping, and hyposmia for 2 months. Rhinoscopic examination revealed a huge polypoid mass in the right inferior and anterior nasal fossa of the nasal cavity and the mass was resected. The tumor showed the classic acinar and trabecular features of ACC on light microscopic examination. The finely granular cytoplasmic granules stained with periodic acid-schiff (PAS) and diastase digested-PAS, but not with alcian blue at pH 2.5 and mucicarmine. On ultrastructural examination, tumor cells contained numerous secretory granules diagnostic of ACC.
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Female , Humans , Middle Aged , Acinar Cells , Alcian Blue , Amylases , Carcinoma, Acinar Cell , Cytoplasmic Granules , Hydrogen-Ion Concentration , Nasal Cavity , Nasal Obstruction , Secretory VesiclesABSTRACT
The diagnosis of peripheral T cell lymphoma is difficult due to the varying size and shape of the neoplastic lymphoid cells and the frequent admixture of nonneoplastic mature lymphyocytes, histiocytes, eosinophils, and plasma cells. We report a case of peripheral T cell lymphoma, lymphoepithelioid cell type, which was difficult to differentiate from tuberculous lymphadenitis due to the aggregates of epithelioid histiocytes mimicking granuloma and the past history of pulmonary tuberculosis. Fine needle aspiration cytology of the inguinal lymph node in a 63-year-old male was characterized by hypercellular aspirates composed of a mixture of small and intermediate-size lymphoid cells and large lymphoid cells with background of confluent epithelioid histiocytes. The neoplastic lymphocytes demonstrated significant nuclear irregularity with protrusion and indentations of the nuclear membrane, prominent nucleoli, and frequent mitotic figures. The diagnosis of peripheral T cell lymphoma was confirmed by histological and immunohistochemical studies.
Subject(s)
Humans , Male , Middle Aged , Biopsy, Fine-Needle , Carcinoma, Acinar Cell , Diagnosis , Eosinophils , Glomerulonephritis , Granuloma , Histiocytes , Lymph Nodes , Lymphocytes , Lymphoma, T-Cell, Peripheral , Nephrotic Syndrome , Nuclear Envelope , Parotid Gland , Plasma Cells , Tuberculosis, Lymph Node , Tuberculosis, PulmonaryABSTRACT
Acinic cell carcinoma is a slow-growing solid neoplasm of salivary gland. Although their cytological and histological finding is bland-looking, their biological behavior is unpredictable. We experienced two cases of acinic cell carcinoma of the salivary gland diagnosed by fine needle aspiration biopsy and confirmed by tissue examination. They showed different clinical courses. We compared their cytologic and histologic findings. The first case was a right preauricular mass in a 58 year-old female of 3 years duration. The cytologic smear revealed sheets or small clusters of monotonous cells mimicking normal serous acinar cells with little cellular pleomorphism. She underwent superficial parotid lobectomy. The tumor was a well demarcated 1.5cm sized nodular mass without infiltration into surrounding parenchyme. The second case was a left submandibular mass in a 23 year-old male of 4 years duration. The smear showed more severe pleomorphism of the tumor cells than those of previous case. Excisional biopsy was done. The excised tumor was 5.5*3.5*3cm sized multilobulated solid mass with invasion into surrounding parenchyme. The tumor recurred after 20months, thus total excision of the mass and modified radical neck dissection was carried out. From the above findings, cytologic atypism, infiltrative growth pattern and type of initial therapy may be correlated with biologic behavior.
Subject(s)
Female , Humans , Male , Middle Aged , Young Adult , Acinar Cells , Biopsy , Biopsy, Fine-Needle , Carcinoma, Acinar Cell , Neck Dissection , Salivary GlandsABSTRACT
We experienced a case of well-differentiated acinic cell carcinoma of the parotid gland in a 65 year-old woman, which was correctly diagnosed preoperatively by fine needle aspiration(FNA) cytology. FNA cytology smears showed clusters or sheets of monomorphic acinic cells having reticulated or finely vacuolated basophilic or acidophilic cytoplasm. The cellular population was homogeneous or slightly polymorphic, having centrally located, round nuclei with finely reticular chromatin and incon- spicuous nucleoli. Herein we report this case with its histologic features and review of literatures.
Subject(s)
Aged , Female , Humans , Acinar Cells , Basophils , Biopsy, Fine-Needle , Carcinoma, Acinar Cell , Chromatin , Cytoplasm , Needles , Parotid Gland , Salivary GlandsABSTRACT
Objective:To observe the expression of P70 S6 kinase(P70 S6K) in parotid acinic cell carcinoma. Methods:P70 S6K expression was examined by means of SP immunohistochemical technique and Western blot test in 30 cases of parotid acinic cell carcinoma. Results:Western blot revealed that P70 S6K expression in parotid acinic cell carcinoma was 58% higher than that in normal parotid tissue. Immunohistochemical assay showed that positive expression ratio of P70 S6K in parotid acinic cell carcinoma and in normal parotid tissue was 100.0% and 33.3%(P
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Light, electron microscopic and immunohistochemical features of 24 cases of acinic cell carcinoma are described. Microscopically, the tumors were composed of acinic cells,clear cells,vacuolated cells, intercalated duct cells and nonspecific glanduar cells. Electron microscopic study revealed some tumor cells contained zymogen granules or tonofilament et al. Immunohistochemical studies showed tumor cells were positive for keratin in all cases, but some tumor cells were positive for vimentin in fourteen cases. Our findings showed tumor cellular components has heterogenity and support the idea of pluripotent duct cell origin of this tumor