Oncocytic lipoadenoma of the parotid gland: Immunohistochemical and cytogenetic analysis

Laboratory of Clinical and Experimental Pathology, 30 Avenue de la Voie Romaine, Louis Pasteur Hospital, 06002 Nice, France.
Pathology - Research and Practice (Impact Factor: 1.4). 05/2009; 206(1):66-72. DOI: 10.1016/j.prp.2009.02.008
Source: PubMed


Salivary gland oncocytic lipoadenoma is an exceptional benign tumor composed of mature adipose tissue associated with a mixture of oncocytes. We report a case of oncocytic lipoadenoma showing sebaceous differentiation, and provide a cytogenetic analysis, which has not yet been described. A 64-year-old male developed a left parotid gland, well-encapsulated tumor measuring 3.5 x 3 cm(2), showing mature fat cells associated with oncocytic changes of epithelial components. Immunohistochemistry showed a dual epithelial population with ductal (positivity for AE1/AE3, CK19, CK7 antibodies) and basal-cell (positivity for p63, CK14, CK5,6 antibodies) differentiation in oncocytic areas. Moreover, oncocytic cells were stained with anti-alpha-1 antichymotrypsin antibody and phosphotungstic acid-hematoxylin staining. Molecular cytogenetic analysis showed a translocation t(12;14), resulting in structural rearrangement of the region framing the HMGA2 gene at 12q14.3. Such alterations in HMGA2 have been described in both lipomas and pleomorphic adenomas of the salivary glands.

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Available from: Marius Ilie, Oct 07, 2015
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    • "Lipoadenoma is characterized by an admixture of mature adipose tissue and branching epithelial tubules that lack myoepithelial cells. Immunohistochemical examination reveals no acini [1,4]. The presence of a fibrous capsule can easily distinguish sialolipoma from lipomatosis; the presence of normal salivary gland with duct dialatation and fibrosis precludes the possibility of a pleomorphic adenoma with extensive adipose content [2,9]. "
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