Bronchiolar adenoma/ciliated muconodular papillary tumor mixed with adenocarcinoma in situ in the same tumor.

Bronchiolar adenoma/ciliated muconodular papillary tumor mixed with adenocarcinoma in situ in the same tumor.
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DOI:
10.1111/1759-7714.14784
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发表时间:
2023-02
期刊:
影响因子:
2.9
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
作者:

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Bronchiolar adenoma (BA)/ciliated muconodular papillary tumor (CMPT) is defined as a benign tumor composed of epithelial and basal cells. Recently, some cases with driver mutations or malignant transformation have been observed. Thus, whether BA/CMPT is benign or malignant remains controversial. We herein report an extremely rare case of a 68‐year‐old woman with a CMPT accompanied by adenocarcinoma in situ (AIS). BA/CMPT existed inside the AIS. The BA/CMPT component did not show any driver mutations; however, the AIS component had an EGFR driver mutation in exon 19. The accumulation of cases and further studies are needed to discuss the malignant potential of BA/CMPT. We report an extremely rare case involving mixed BA/CMPT and AIS in the same tumor. In our case, the AIS component had an EGFR driver mutation in exon 19. No driver mutations were detected in the BA/CMPT component. The tumor boundaries between BA/CMPT and AIS were relatively clear. Driver mutations or malignant transformation in BA/CMPT have been reported in several cases, but the present case, it is thought that the two tumors were incidentally mixed. The malignant potential of BA/CMPT should also be considered.
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