Oropharyngeal Mixed Neuroendocrine-Nonneuroendocrine Neoplasm (MiNEN): A Case Report and Literature Review.

Head and neck pathology Pub Date : 2021-12-01 Epub Date: 2021-03-11 DOI:10.1007/s12105-021-01312-w
Liam Robinson, Ciska-Mari Schouwstra, Willie F P van Heerden
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引用次数: 6

Abstract

Primary mixed neuroendocrine-nonneuroendocrine neoplasm (MiNEN) of the head and neck region is a rare biphasic tumor with an aggressive biological behavior. This report highlights an additional case of oropharyngeal MiNEN in a 46-year-old male patient with a previous long-term smoking history. Histologic evaluation revealed a biphasic tumor infiltrating the lamina propria. The first component consisted of a classic keratinizing squamous cell carcinoma. The second component consisted of small-to-intermediate sized cells with neuroendocrine features. Synaptophysin and CD56 immunohistochemical stains confirmed neuroendocrine lineage in this component. The presence of two morphological components with neuroendocrine and nonneuroendocrine features on histologic assessment should alert the pathologist to consider a MiNEN in their case work-up.

Abstract Image

口咽混合神经内分泌-非神经内分泌肿瘤1例报告并文献复习。
原发性神经内分泌-非神经内分泌混合性肿瘤(MiNEN)是一种罕见的双相肿瘤,具有侵袭性的生物学行为。本报告强调了另一例口咽MiNEN病例,患者为46岁男性,既往有长期吸烟史。组织学检查显示双期肿瘤浸润固有层。第一个组成部分是典型的角化鳞状细胞癌。第二组由具有神经内分泌特征的小到中等大小的细胞组成。突触素和CD56免疫组化染色证实了该成分的神经内分泌谱系。存在两种形态学成分与神经内分泌和非神经内分泌特征的组织学评估应提醒病理学家考虑MiNEN在他们的病例检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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