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A Spontaneous Epithelial-Myoepithelial Carcinoma of the Submandibular Gland in a Sprague-Dawley Rat

机译:Sprague-Dawley大鼠下颌下腺自发性上皮-肌上皮癌

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The present report describes a rare case of spontaneous tumor of the salivary gland in a male Sprague-Dawley rat. The clinically confirmed mass rapidly developed in the cervical region between 19 and 21 weeks of age, and the animal was subsequently euthanized. At necropsy, a well-circumscribed nodule approximately 7 × 6 cm in diameter was found at the site of the salivary gland. The cut surface of the nodule was lobulated and soft and had a pinkish tan fish-flesh appearance. One large cyst (approximately 3 × 2 cm in size) containing reddish fluid was also present in the nodule. Histopathologically, the tumor, with a partially lobulated structure, was surrounded by a thin fibrous capsule. The majority of tumor cells formed a diffuse solid sheet structure that mainly consisted of small ovoid or spindle-shaped cells. In the tumor periphery, some cells were arranged in nest-like structures. Small duct-like structures lined with a monolayer of cuboidal epithelial cells resembling an intercalated duct or large polygonal clear cells with a myoepithelial component were also observed. Mitotic figures and necrotic foci were frequently observed in solid areas. Immunohistochemically, the tumor cells were positive for cytokeratin, epithelial membrane antigen, vimentin, p63, α-smooth muscle actin and calponin. The cells were negative for calcitonin, synaptophysin and chromogranin A. On the basis of these findings, the tumor was diagnosed as an epithelial-myoepithelial carcinoma originating from the luminal epithelial cells and myoepithelial cells in the submandibular gland.
机译:本报告描述了雄性Sprague-Dawley大鼠唾液腺自发性肿瘤的罕见情况。经临床证实的肿块在19至21周龄的宫颈区域迅速发展,随后对动物实施安乐死。尸检时,在唾液腺部位发现直径约7×6厘米的界限清楚的结节。结节的切面呈小叶状,质地柔软,呈棕褐色鱼肉状外观。结节中还存在一个含有微红色液体的大囊肿(大小约3×2厘米)。在组织病理学上,具有部分叶状结构的肿瘤被薄的纤维囊包围。大多数肿瘤细胞形成弥散的固体薄片结构,主要由小的卵形或纺锤形细胞组成。在肿瘤外围,一些细胞排列成巢状结构。还观察到小导管状结构,内衬有单层的立方层上皮细胞(类似于插层的导管)或具有肌上皮成分的大的多边形透明细胞。在实心区域经常观察到有丝分裂形态和坏死灶。免疫组织化学分析,肿瘤细胞的细胞角蛋白,上皮膜抗原,波形蛋白,p63,α-平滑肌肌动蛋白和钙蛋白均呈阳性。这些细胞对降钙素,突触素和嗜铬粒蛋白A呈阴性。根据这些发现,该肿瘤被诊断为上皮下肌上皮癌,起源于下颌下腺的腔上皮细胞和上皮细胞。

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