涎腺疾病__培训课件.pptVIP

Differences from polymorphous low grade adenocarcinoma: Lobulated architecture Myoepithelial cells around cell islands Sclerosing polycystic adenosis Originally thought to be a pseudoneoplastic benign entity Probably a benign neoplasm: Circumscribed nodular mass HUMARA clonality analysis: lesion is clonal 九、硬化性多囊性腺病 临床：33-45岁多，大唾液腺多见，1/3术后复发 病理：界清，包膜不完整 硬化间质+囊（微囊、腺泡、导管） +淋巴细胞 小叶结构存在 * 十、唾液腺囊肿 组成：纤维结缔组织囊壁，上皮衬里及腔内容物 分类：发育不全性：多腮囊肿 有上皮衬里：导管囊肿，淋巴上皮囊肿 无上皮衬里：外渗性粘液囊肿 导管囊肿：老年男性，腮腺多见，无痛性肿块 囊液为唾液 淋巴上皮囊肿：慢性炎使淋巴样间质和上皮增生