Dedifferentiated acinic cell tumour: the harlequin of salivary gland neoplasms--an unusual variant. 2013

Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
Department of Pathology, JN Medical College, Aligarh, Uttar Pradesh, India. vians.jain@gmail.com

We present a case of a salivary gland tumour in a 25-year-old woman with lymphadenopathy and a clinical suspicion of lymphoma. The patient had a history of rapidly enlarging mass near angle of jaw which was resected and sent for histopathological examination. A final diagnosis of acinic cell tumour with dedifferentiation was made by histomorphological and immunohistochemical studies. Acinic cell tumour can mimic any salivary neoplasm phenotypically because of its varied architectural patterns of presentation with varied cell types, hence called the harlequin of salivary gland. Acinic cell tumour with dedifferentiation is a rare aggressive variant and requires adjuvant radiotherapy for better prognosis, hence the need for accurate diagnosis and communication to the surgeon.

UI MeSH Term Description Entries
D003131 Combined Modality Therapy The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used. Multimodal Treatment,Therapy, Combined Modality,Combined Modality Therapies,Modality Therapies, Combined,Modality Therapy, Combined,Multimodal Treatments,Therapies, Combined Modality,Treatment, Multimodal,Treatments, Multimodal
D003937 Diagnosis, Differential Determination of which one of two or more diseases or conditions a patient is suffering from by systematically comparing and contrasting results of diagnostic measures. Diagnoses, Differential,Differential Diagnoses,Differential Diagnosis
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012468 Salivary Gland Neoplasms Tumors or cancer of the SALIVARY GLANDS. Cancer of Salivary Gland,Non-Sebaceous Lymphadenomas,Salivary Gland Cancer,Salivary Gland Lymphadenomas,Sebaceous Lymphadenomas,Cancer of the Salivary Gland,Neoplasms, Salivary Gland,Cancer, Salivary Gland,Cancers, Salivary Gland,Gland Neoplasm, Salivary,Gland Neoplasms, Salivary,Lymphadenoma, Non-Sebaceous,Lymphadenoma, Salivary Gland,Lymphadenoma, Sebaceous,Lymphadenomas, Non-Sebaceous,Lymphadenomas, Salivary Gland,Lymphadenomas, Sebaceous,Neoplasm, Salivary Gland,Non Sebaceous Lymphadenomas,Non-Sebaceous Lymphadenoma,Salivary Gland Cancers,Salivary Gland Lymphadenoma,Salivary Gland Neoplasm,Sebaceous Lymphadenoma
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D018267 Carcinoma, Acinar Cell A malignant tumor arising from secreting cells of a racemose gland, particularly the salivary glands. Racemose (Latin racemosus, full of clusters) refers, as does acinar (Latin acinus, grape), to small saclike dilatations in various glands. Acinar cell carcinomas are usually well differentiated and account for about 13% of the cancers arising in the parotid gland. Lymph node metastasis occurs in about 16% of cases. Local recurrences and distant metastases many years after treatment are common. This tumor appears in all age groups and is most common in women. (Stedman, 25th ed; Holland et al., Cancer Medicine, 3d ed, p1240; from DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p575) Acinar Carcinoma,Acinar Cell Adenocarcinoma,Acinic Cell Adenocarcinoma,Acinic Cell Carcinoma,Acinic Cell Tumor,Serous Acinar Adenoma,Acinar Carcinomas,Acinar Cell Adenocarcinomas,Acinar Cell Carcinoma,Acinar Cell Carcinomas,Acinic Cell Adenocarcinomas,Acinic Cell Carcinomas,Acinic Cell Tumors,Adenocarcinoma, Acinar Cell,Adenocarcinoma, Acinic Cell,Adenocarcinomas, Acinar Cell,Adenocarcinomas, Acinic Cell,Carcinoma, Acinar,Carcinoma, Acinic Cell,Carcinomas, Acinar,Carcinomas, Acinar Cell,Carcinomas, Acinic Cell,Tumor, Acinic Cell,Tumors, Acinic Cell

Related Publications

Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
November 1990, The Annals of otology, rhinology, and laryngology,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
June 2014, BMJ case reports,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
March 1967, Oral surgery, oral medicine, and oral pathology,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
February 1988, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
November 2010, Ear, nose, & throat journal,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
May 1990, Veterinary pathology,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
January 2010, Revue de laryngologie - otologie - rhinologie,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
October 1964, Polish medical science and history bulletin,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
September 1977, The Laryngoscope,
Anshu Jain, and Kiran Alam, and Aroonima Misra, and Veena Maheshwari
January 2006, Acta cytologica,
Copied contents to your clipboard!