Carcinosarcoma of the parotid gland: Immunohistochemical analysis with emphasis in cell cycle mitotic activity and cell adhesion molecules expression

Dimitrios Andreadis , Athanasios Poulopoulos , Apostolos Epivatianos , Alexandros Nomikos , Konstantinos Christidis , Calypso Barbatis
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引用次数: 5

Abstract

Carcinosarcoma is a rare salivary gland neoplasm consisting of both carcinomatous and sarcomatous component. It may arises de novo or on a pre-existing pleomorphic adenoma. We present a case of parotid carcinosarcoma, exhibiting features of salivary ductal adenocarcinoma (carcinomatous element) and fibrosarcoma/osteosarcoma (sarcomatous element). Immunohistochemical analysis with Ki67, p53, p27, C-KIT, bcl2, cerbB2, SMA, VIM has performed and cell adhesion molecules’ expression, E-cadherin, beta4-integrin, desmoglein-2, CD44s and ICAM-1 has been detected. In conclusion carcinosarcoma is an aggressive tumor, with a biphasic malignant neoplastic component showing characteristic immunohistochemical profile and reduced or extremely alternative CAMs expression.

腮腺癌肉瘤:免疫组织化学分析,强调细胞周期有丝分裂活性和细胞粘附分子表达
摘要癌肉瘤是一种罕见的涎腺肿瘤,由癌性和肉瘤性成分组成。它可能是新发的,也可能是先前存在的多形性腺瘤。我们报告一例腮腺癌肉瘤,表现出涎腺导管腺癌(癌性成分)和纤维肉瘤/骨肉瘤(肉瘤性成分)的特征。免疫组化检测Ki67、p53、p27、C-KIT、bcl2、cerbB2、SMA、VIM,检测细胞粘附分子E-cadherin、β -整合素、desmoglin -2、CD44s、ICAM-1的表达。总之,癌肉瘤是一种侵袭性肿瘤,具有双期恶性肿瘤成分,表现出特有的免疫组织化学特征,CAMs表达减少或完全不同。
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