是腺样囊性癌，非腺样囊腺癌。用字要正确

 两大阵营,我还是给腺样囊性癌添一票吧,期待张老师的结果

 

腺样囊性腺癌易侵犯神经,该例未看到,甚至未看到侵润.应该是腺瘤.

 basal cell adenoma show absence of mucoid stromal component with distinct basement membrane-like material on the outside.so adenoid vs basal cell adenoma

 腺样囊腺癌

 腮腺肿瘤决定良恶性主要看有无浸润，大体看包膜完整不准确，应多取材仔细观察。基底细胞腺瘤可以伴有腺样囊性癌样结构出现。自己的体会，期待张老师的结果！

 总体看来好像不恶，我考虑基底细胞腺瘤

 基底细胞腺瘤

  基底细胞腺瘤

Most pathologists would agree that salivary gland neoplasm can be very difficult to classify. The case posted by Dr. Zhang is one of those difficult ones.  I agree that the differential diagnoses include adenoid cystic carcinoma ( 腺样囊性癌), basal cell adenoma (基底细胞腺瘤) as most people suggested. I would also add that we might consider basal cell adenocarcinoma (基底细胞腺癌), which differ from basal cell adenoma by its infiltrative growth into surrounding normal salivary gland or soft tissue.  Evaluation of the edge of the tumor is critical for this distinction. We know that pleomorphic adenoma can become carcinoma after many years or as a recurrence, I am not sure whether basal cell adenoma can become carcinoma.  Thanks! 

 基底细胞腺瘤。

 

 腺样囊性癌

以下是引用月儿在2008-3-4 21:11:00的发言：  包膜完整啊，基底细胞腺瘤。

基底细胞腺瘤,筛状结构只是局灶性的。

 基底细胞腺瘤----期待最后结果！

   腺样囊性癌

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