首页> 美国卫生研究院文献>Journal of Toxicologic Pathology >A case of rapid recurrence of apocrine ductal carcinoma originating from the oral scent gland of a Richardson’s ground squirrel (Urocitellus richardsonii)
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A case of rapid recurrence of apocrine ductal carcinoma originating from the oral scent gland of a Richardson’s ground squirrel (Urocitellus richardsonii)

机译:一例起源于理查森地松鼠(Urocitellus richardsonii)口腔气味腺的高密度支气管导管癌快速复发的病例

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摘要

A 3-year-old female Richardson’s ground squirrel developed a subcutaneous mass at the left oral angle. Seven days after removal of the mass, the mass recurred and metastasized to the cervical lymph node. Histologically, the primary mass was subdivided by fibrous trabeculae into various-sized neoplastic cell lobules showing a solid growth pattern with frequent mitoses and sometimes forming intracytoplasmic lumina. Large to medium-sized lobules formed a central cyst plugged by comedo necrosis. Neoplastic cells showed infiltrative subcutaneous growth. In the recurrent tumor, tubular structures lacking apparent apocrine secretion appeared within the solid growth portion. Neutrophil infiltration was evident within the tubules and intracytoplasmic lumina. Neoplastic cells were diffusely immunopositive for AE1/AE3 pan-cytokeratin (CK) in all lobules and focally positive for CAM5.2 CK in the lobules forming a central cyst and/or tubular structures, but they entirely lacked positivity for the periodic acid Schiff reaction. Ki-67-positive proliferating neoplastic cells were higher in numbers with the recurrent tumor than with the primary tumor. In addition, phosphorylated c-MYC immunoreactivity was observed in neoplastic cell nuclei, distinctly at the portion of invasive growth. Thus, the present case was diagnosed as apocrine ductal carcinoma originating from the oral scent gland, which typically shows highly aggressive biological behavior.
机译:3岁的女性理查森(Richardson)的地松鼠在左口腔角处形成皮下肿物。去除肿块7天后,肿块复发并转移至颈淋巴结。从组织学上讲,原发性小梁被纤维小梁细分为各种大小的赘生性小叶,表现出具有频繁有丝分裂的固态生长模式,有时形成胞浆内腔。大中型小叶形成中央囊肿,被粉刺坏死堵塞。肿瘤细胞显示浸润性皮下生长。在复发性肿瘤中,缺乏明显的顶泌分泌的肾小管结构出现在固体生长部分内。在肾小管和胞浆内腔中可见中性粒细胞浸润。肿瘤细胞在所有小叶中对AE1 / AE3泛细胞角蛋白(CK)呈弥漫性免疫阳性,在小叶中对CAM5.2 CK呈局部阳性,形成中央囊肿和/或肾小管结构,但它们对高碘酸Schiff反应完全缺乏阳性。复发性肿瘤中Ki-67阳性增殖性肿瘤细胞的数量高于原发性肿瘤。另外,在赘生性细胞核中,明显在侵袭性生长的部分观察到磷酸化的c-MYC免疫反应性。因此,本病例被诊断为源自口腔气味腺的顶泌性导管癌,其通常表现出高度侵袭性的生物学行为。

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