Glandul?res Papillom des rechten Hauptbronchus
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  • 作者:PD Dr. med. J. Wohlschl?ger (1)
    S. Welter MD (2)
    G. Stamatis MD (2)
    D. Theegarten MD (1)
    T. Hager MD (1)
    F. Mairinger MD (1)
    K. Worm MD (1)
    K.W. Schmid MD (1)
    K.M. Müller MD (3)
  • 关键词:Bronchiale glandul?re Papillome ; Papill?re Adenokarzinome ; Bronchustumor ; Molekularbiologie ; Mutation ; Bronchial glandular papilloma ; Papillar adenocarcinoma ; Bronchial tumor ; Molecular biology ; Mutation
  • 刊名:Der Pathologe
  • 出版年:2013
  • 出版时间:July 2013
  • 年:2013
  • 卷:34
  • 期:4
  • 页码:338-342
  • 全文大小:672KB
  • 参考文献:1. Basheda S, Gephardt GN, Stoller JK (1991) Columnar papilloma of the bronchus. Case report and literature review. Am Rev Respir Dis 144:1400-402 CrossRef
    2. (o A) (2004) Tumours of the lung: benign epithelial lesions. In: Travis WD (Hrsg) World Health Organization classification of tumours. Tumours of the lung, pleura, thymus and the heart, S?78-7
    3. (o A) (2008) Miscellanous tumours and tumor-like proliferations of the lung: uncommon endobronchial surface tumours. In: Tomashefski JF Jr (Hrsg) Dail and Hammar’s pulmonary pathology, Volume?II. Springer, S?524-36
    4. Ashley DJ, Danino EA, Davies HD (1963) Bronchial polyps. Thorax 18:45-9 CrossRef
    5. Ashmore PG (1954) Papilloma of the bronchus: case report. J Thorac Surg 27:293-94
    6. Roviaro GC, Varoli F, Pagnini CA (1981) Is the solitary papilloma of the bronchus always a benign tumor? J Otorhinolaryngol Relat Spec 43:301-08 CrossRef
    7. Spencer H, Dail DH, Arneaud J (1980). Non-invasive bronchial epithelial papillary tumors. Cancer 45:1486-497 CrossRef
    8. Flieder DB, Koss MN, Nicholson A et al (1998) Solitary pulmonary papillomas in adults: a clinicopathologic and in situ hybridization study of 14?cases combined with 27?cases in the literature. Am J Surg Pathol 22:1328-342 CrossRef
    9. Rodenhuis S, Wetering ML van de, Mooi WJ et al (1987) Mutational activation of the K-ras oncogene. A possible pathogenetic factor in adenocarcinoma of the lung. N Engl J Med 317:929-35 CrossRef
    10. Huncharek M, Muscat J, Geschwind JF (1999) K-ras oncogene mutation as a prognostic marker in non-small cell lung cancer: a combined analysis of 881 cases. Carcinogenesis 20:1507-510 CrossRef
    11. Ohshima S, Shimizu Y, Takahama M (1994) Detection of c-Ki-ras gene mutation in paraffin sections of adenocarcinoma and atypical bronchioloalveolar cell hyperplasia of human lung. Virchows Arch 424:129-34
    12. Westra WH, Baas IO, Hruban RH et al (1996) K-ras oncogene activation in atypical alveolar hyperplasias of the human lung. Cancer Res 56:2224-228
    13. Niklinski J, Niklinska W, Chyczewski L et al (2001) Molecular genetic abnormalities in premalignant lung lesions: biological and clinical implications. Eur J Cancer Prev 10:213-26 CrossRef
  • 作者单位:PD Dr. med. J. Wohlschl?ger (1)
    S. Welter MD (2)
    G. Stamatis MD (2)
    D. Theegarten MD (1)
    T. Hager MD (1)
    F. Mairinger MD (1)
    K. Worm MD (1)
    K.W. Schmid MD (1)
    K.M. Müller MD (3)

    1. Institut für Pathologie und Neuropathologie, Universit?tsklinik Essen, Universit?t Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Deutschland
    2. Abteilung für Thoraxchirurgie und thorakale Endoskopie, Ruhrlandklinik Essen, Westdeutsches Tumorzentrum, Universit?tsklinik Essen, Universit?t Duisburg-Essen, Essen, Deutschland
    3. Gerhard-Domagk-Institut für Pathologie, Universit?tsklinik Münster, Westf?lische Wilhelms-Universit?t, Münster, Deutschland
文摘
Benign epithelial tumors of the tracheobronchial system and the lungs are exceedingly rare. These entities encompass squamous and glandular papillomas (as well as their mixed forms) and adenomas (alveolar adenoma, papillary adenoma, salivary gland-like pleomorphic and mucinous adenomas and mucinous cystadenomas). These tumors are considered to be biologically benign neoplasms; however, they can pose considerable diagnostic difficulties, especially during frozen section evaluation, as they can mimic malignant tumors and in particular they can resemble well differentiated papillary adenocarcinomas. As a result of the extreme rarity of these tumors only a few descriptive diagnostic series exist and a systematic investigation including molecular data does not exist. This article presents the case of a 64-year-old patient with a glandular papilloma of the right main bronchus including the immunohistochemical and molecular work-up as well as a review of the current literature.

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