Skip to main content

Advertisement

Log in

Adenosquamous carcinoma of the tongue in a 22-year-old female: report of a case with immunohistochemistry

  • Head and Neck Oncology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Adenosquamous carcinoma is a very rare tumor that is characterized pathologically by the simultaneous presence of distinct areas of adenocarcinoma and squamous cell carcinoma. Only 15 cases in the oral cavity are reported in the literature, most occurring in middle-aged and elderly males. Pain is a commonly reported presenting symptom and may be related to the frequent presence of perineural invasion. Most cases have been treated surgically. However, early recurrence and death due to disease are common. We report an exceptional case occurring in a 22-year-old female. The tumor was associated with dysplasia of both minor salivary gland ductal epithelium and surface mucosal epithelium. Perineural invasion was also present. The patient was treated with combined surgery and radiotherapy and remained well for 9 months before developing locoregional recurrence and ultimately succumbing to the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.
Fig. 7.

Similar content being viewed by others

References

  1. Abdelsayed RA, Sangueza OP, Newhouse RF, Singh BS (1998) Adenosquamous carcinoma. A case report with immunohistochemical evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:173–177

    CAS  PubMed  Google Scholar 

  2. Cheuk W, Chan JKC (2000) Adenosquamous carcinoma. In: Fletcher CDM (ed) Diagnostic histopathology of tumors, 2nd edn. Churchill-Livingstone, London, pp 288–289

  3. Ellis GL, Auclair PL, Gnepp DR, Goode RK (1991) Adenosquamous carcinoma. In: Ellis GL, Auclair PL, Gnepp DR (eds) Surgical pathology of the salivary glands. WB Saunders, Philadelphia, pp 455–459

  4. Gerughty RM, Hennigar GR, Brown FM (1968) Adenosquamous carcinoma of the nasal, oral, and laryngeal cavities. A clinicopathological survey of 10 cases. Cancer 22:1140–1155

    CAS  PubMed  Google Scholar 

  5. Guerrero J, Alvarez Vicent JJ, Novo O (1995) Adenosquamous carcinoma of minor salivary glands: reporting a case in the tongue. An Otorrinolaringol Ibero Am 22:299–309

    CAS  PubMed  Google Scholar 

  6. Izumi K, Nakajima T, Maeda T, Cheng J, Saku T (1998) Adenosquamous carcinoma of the tongue. Report of a case with histochemical, immunohistochemical, and ultrastructural study and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 85:174–184

    Google Scholar 

  7. Martinez-Madrigal F, Baden E, Casiraghi O, Micheau C (1991) Oral and pharyngeal adenosquamous carcinoma. A report of four cases with immunohistochemical studies. Eur Arch Otorhinolaryngol 248:255–258

    CAS  PubMed  Google Scholar 

  8. Napier SS, Gormley JS, Newlands C, Ramsay-Baggs P (1995) Adenosquamous carcinoma. A rare neoplasm with an aggressive course. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79:607–611

    CAS  PubMed  Google Scholar 

  9. Pindborg JJ, Reichart PA, Smith CJ, Van der Waal I (1997) Histological typing of cancer and precancer of the oral mucosa. World Health Organization international histological classification of tumors, 2nd edn. Springer New York Heidelberg Berlin, p. 16

  10. Sanner JR (1979) Combined adenosquamous carcinoma and ductal adenoma of the hard and soft palate: report of case. J Oral Surg 37:331–334

    CAS  PubMed  Google Scholar 

  11. Scully C, Porter SR, Speight PM, Eveson JW, Gale D (1999) Adenosquamous carcinoma of the mouth: a rare variant of squamous cell carcinoma. Int J Oral Maxillofac Surg 28:125–128

    Article  CAS  PubMed  Google Scholar 

  12. Siar CH, Ng KH (1987) Adenosquamous carcinoma of the floor of the mouth and lower alveolus: a radiation-induced lesion? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 63:216–220

    Google Scholar 

Download references

Acknowledgements

We wish to thank Dr Seamus O'Cathail FRCPI, FRCR, FFR RCSI, Consultant in Radiotherapy and Oncology, Cork University Hospital, Cork, Ireland.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patrick Sheahan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sheahan, P., Fitzgibbon, J., Lee, G. et al. Adenosquamous carcinoma of the tongue in a 22-year-old female: report of a case with immunohistochemistry. Eur Arch Otorhinolaryngol 260, 509–512 (2003). https://doi.org/10.1007/s00405-003-0616-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-003-0616-9

Keywords

Navigation