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Table 1 A comparison to differentiate ACC from syringoma from clinical and gross histomorphological features

From: Adenoid Cystic Carcinoma (ACC) of the Bartholin's gland misdiagnosed for three times: a case report

 

Chondroid Syringoma

Adenoid Cystic Carcinoma

Clinical Manifestation

Painless, solid, ovoid or round mass

A painless lump with unspecific symptoms including local inflammation, pain, bleeding, pruritus and or dyspareunia with perineural infiltrations [4].

Histological features

Epithelial components include cuboidal, basaloid, squamous, spindle cell, plasmacytoid, and clear cells usually forming sheets or ducts

Myoepithelial components contain spindle-shaped or plasmacytoid cells forming sheets, or appear as a reticular pattern

Mesenchymal components are myxoid/mucoid, cartilaginous or hyalinised [6].

Acellular spaces containing mucin and hyalinized material

Uniform small cells forming cords and nests surrounding the acellular spaces

The tumor cells are basaloid, with little cytoplasm and regular nuclear structure [4].