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Open Access Highly Accessed Case Report

Low-grade cribriform cystadenocarcinoma of salivary glands: report of two cases and review of the literature

Liang Wang12, Yang Liu12, Xuyong Lin12, Di Zhang12, Qingchang Li12, Xueshan Qiu12 and En-Hua Wang12*

Author Affiliations

1 Department of Pathology, the First Affiliated Hospital and College of Basic Medical Sciences, China Medical University, Shenyang 110001, China

2 Institute of Pathology and Pathophysiology, China Medical University, Shenyang 110001, China

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Diagnostic Pathology 2013, 8:28  doi:10.1186/1746-1596-8-28

Published: 18 February 2013

Abstract

Low-grade cribriform cystadenocarcinoma (LGCCC) is a recently described rare tumor of salivary gland which exhibits clinically indolent behavior. This tumor predominantly consists of intraductal components and frequently exhibits papillary-cystic or cribriform proliferation pattern. Considering the histological features of LGCCC, it should be distinguished with papillocystic variant of acinic cell carcinoma, conventional salivary duct carcinoma, cystadenocarcinoma, polymorphous low-grade adenocarcinoma, carcinoma ex pleomorphic adenoma and mammary analogue secretory carcinoma. Herein, we presented two cases of LGCCC. One arose in the left parotid region in a 48-year-old male, and the other one arose in the right parotid gland in a 59-year-old female. For both cases, immunohistochemically, the luminal tumor cells showed diffuse expression of CK and S100; p63 and smooth muscle actin displayed a continuous rim of myoepithelial cells around all tumor islets; no myoepithelial cells were admixed with the luminal cells. Both patients were alive with no tumor recurrence or metastasis at follow-up.

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Keywords:
Salivary; Low-grade; Duct; Carcinoma; Cribriform; Cystadenocarcinoma