Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 16, 2022; 10(14): 4541-4549
Published online May 16, 2022. doi: 10.12998/wjcc.v10.i14.4541
Bronchiolar adenoma with unusual presentation: Two case reports
Ying Du, Zheng-Yan Wang, Zheng Zheng, Ying-Xue Li, Xiu-Yu Wang, Ran Du
Ying Du, Zheng-Yan Wang, Zheng Zheng, Ying-Xue Li, Xiu-Yu Wang, Ran Du, Department of Pathology, The Affiliated Hospital of Shandong First Medical University (Liaocheng People’s Hospital), Liaocheng 252000, Shandong Province, China
Author contributions: Du Y contributed to the conception and design, data analysis and interpretation, and manuscript writing; Du R contributed to the administrative support; Wang ZY and Wang XY contributed to the provision of study materials or patients; Du Y, Zheng Z, and Li YX contributed to the collection and assembly of data; and all authors have read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from both patients for the publication of this case report.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ran Du, MM, Doctor, Department of Pathology, The Affiliated Hospital of Shandong First Medical University (Liaocheng People’s Hospital), No. 67 Dongchang West Road, Liaocheng 252000, Shandong Province, China. chinaduying@163.com
Received: August 30, 2021
Peer-review started: August 30, 2021
First decision: November 17, 2021
Revised: December 3, 2021
Accepted: March 25, 2022
Article in press: March 25, 2022
Published online: May 16, 2022
Core Tip

Core Tip: In terms of morphology, case 1 had no atypical cells, visible cilia, and bilayer structures in focal areas. Immunohistochemical staining for P63 and cytokeratin (CK)5/6 revealed the lack of a continuous bilayer structure in most areas, and no mutations were found in the genes detected. In case 2, most cells were medium-sized. Furthermore, local cells had atypia, and cilia were found locally. Immunohistochemical staining for P63 and CK5/6 revealed that only heteromorphic cell regions showed a bilayer structure. Human epidermal growth factor receptor-2 gene mutation was identified. Further research is needed to investigate whether these lesions can be called atypical bronchiolar adenoma and whether they are invasive precursor lesions.