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Sclerosing Polycystic Adenosis/Adenoma-Changing Paradigm: A Mini

Medical Reports & Case Studies

ISSN - 2572-5130

Mini Review - (2021) Volume 0, Issue 0

Sclerosing Polycystic Adenosis/Adenoma-Changing Paradigm: A Mini Review

Reshma Venugopal*, Radhika Manoj Bavle, Sudhakara Muniswamappa and Soumya Makarla
 
*Correspondence: Reshma Venugopal, Department of Oral and Maxillofacial Pathology, Krishnadevaraya College of Dental Sciencesss, Bangalore-562157, India, Tel: 09513444156, Email:

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Abstract

Sclerosing polycystic adenosis or adenoma- the term is open for discussion. The lesion is termed sclerosing polycystic adenosis-a pseudo neoplastic reactive inflammatory process that appears similar to sclerosing adenosis of the breast- in the recent WHO 2017 salivary gland tumour classification. It is categorised under other epithelial lesions as sclerosing polycystic adenosis and considers sclerosing polycystic adenoma as a synonym. The evidence to state the lesion to be a neoplastic process rather than reactive is on the rise and consideration should be given based on the degree of dysplasia that it presents, 30% local recurrence rate and genetic alteration related to PI3K pathway and PTEN, a tumour suppressor gene. The major portion of the ductal proliferations retains the lobular architecture and is lined by a layer of myoepithelial cells with rare incidence of invasive carcinoma. These features suggest the lesion to be considered a benign process until a rare invasive component or metastases is detected.

Keywords

Sclerosing polycystic adenosis • Sclerosing polycystic adenoma • Apocrine differentiation • Hyalinization • Ductal carcinoma in situ • PI3K pathway • X-chromosome inactivation

Introduction