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Collagenous crystalloids in myoepithelial carcinoma: report of a case and review of the literature
Journal article   Open access   Peer reviewed

Collagenous crystalloids in myoepithelial carcinoma: report of a case and review of the literature

Andrew M Bellizzi and Stacey E Mills
American journal of clinical pathology, Vol.130(3), pp.355-362
09/2008
DOI: 10.1309/J3YVV58V22AKXHWR
PMID: 18701407
url
https://doi.org/10.1309/J3YVV58V22AKXHWRView
Published (Version of record) Open Access

Abstract

Since the first report of "tyrosine crystals" in a parotid mixed tumor by Bullock in 1953, authors have described several types of crystalloids in association with mixed tumor and related neoplastic and nonneoplastic entities. The principal classes of these include tyrosine-rich crystalloids, collagenous crystalloids, and one class variously referred to as tyrosine-rich crystals, nontyrosine crystalloids, and amylase crystalloids. We report a myoepithelial carcinoma of minor salivary gland origin containing numerous collagenous crystalloids. To our knowledge, this represents the first report of collagenous crystalloids in a case of myoepithelial carcinoma. In addition, we searched our institution's files for cases of pure myoepithelial tumors. No crystalloids of any form were identified in 27 myoepitheliomas and 15 myoepithelial carcinomas. We review the literature on salivary-related crystalloids, and we propose the term oncocyte/cyst-associated crystalloids to encompass the aforementioned third class of crystalloid. Given distinct morphologic and histochemical properties and given relatively limited disease associations, we conclude that in the appropriate clinical context, the identification of these crystalloids can be diagnostically useful.
Immunohistochemistry Collagen - metabolism Collagen - ultrastructure Humans Crystallization Salivary Gland Neoplasms - ultrastructure Female Aged Salivary Gland Neoplasms - pathology

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