RESUMO
A palisading adenocarcinoma arising in the left submandibular salivary gland in a 65-year old woman is presented here. This tumor has been identified only very recently and its recognition as a true entity in the list of salivary gland tumors is still pending. Its distinct clinical-pathological context includes a predilection for women, sublingual or submandibular gland involvement, low-grade cytology with pseudo-neuroendocrine features, and sharp immunohistochemical expression.
Assuntos
Adenocarcinoma , Neoplasias das Glândulas Salivares , Humanos , Feminino , Idoso , Adenocarcinoma/patologia , Glândulas Salivares/patologia , Neoplasias das Glândulas Salivares/patologiaRESUMO
A case of Wegener's granulomatosis in a 59-year-old woman is reported. The disease first involved the parotid gland, the brain stem and the spinal cord, then running a rapidly progressive course as systemic pathology. Anti-neutrophil cytoplasmic antibody (cANCA) levels raised as renal failure set in. Renal biopsy confirmed the diagnosis of Wegener's granulomatosis and an appropriate therapy was adopted.