Glycogen-rich adenocarcinoma in the lower lip: report of a case with particular emphasis on differential diagnosis

Kazumasa Mori; Jun Shimada; Nozomi Tamura; Nobuaki Tamura

doi:10.4236/ojst.2011.13017

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Open Journal of Stomatology > Vol.1 No.3, September 2011

Glycogen-rich adenocarcinoma in the lower lip: report of a case with particular emphasis on differential diagnosis ()

Kazumasa Mori, Jun Shimada, Nozomi Tamura, Nobuaki Tamura

DOI: 10.4236/ojst.2011.13017 PDF HTML 3,922 Downloads 6,719 Views

Abstract

We herein report a glycogen-rich adenocarcinoma occurring in the lower lip of a 44-year-old female. The lesion appeared as painless slowly growing mass in the right side of the lower lip. Histologically, infil-trative tumor nests with duct-like or pseudocyst structure into the mucosa and/or dermis were ob-served. The basaloid neoplastic cells had granular but occasionally vacuolated cytoplasm with salient reaction of diastase-digestible periodic acid-Schiff, thus indicating that they were glycogen-rich in nature. The tumor cells were positive for CEA, cytokeratin, and S-100 protein, and negative for SMA, alpha-1 antitrypsin, and amylase by immunohistochemistry. The origin of the tumor with infiltrative nests was indistinguishable from salivary gland and skin ap-pendage malignancy. A differential diagnosis of this peculiar neoplasm was discussed.

Keywords

Adenocarcinoma; Glycogen; Differntial Diagnosis; Lower Lip

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Mori, K. , Shimada, J. , Tamura, N. and Tamura, N. (2011) Glycogen-rich adenocarcinoma in the lower lip: report of a case with particular emphasis on differential diagnosis. Open Journal of Stomatology, 1, 109-113. doi: 10.4236/ojst.2011.13017.

Conflicts of Interest

The authors declare no conflicts of interest.

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