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. 2024 Jan 17;10(2):e24873. doi: 10.1016/j.heliyon.2024.e24873

Table 2.

Summary of key points in differential diagnosis of salivary Warthin-like MEC, MEC with TALP and mWT.

Tumor genesis Tumor parenchyma
Tumor mesenchymal
Molecular signature
structure Oncocytic Cell Epidermoid cell Mucus cell Lymphocytes Mucus extravasation
Warthin-like MEC MEC excretory ducts glandular architecture with cystic structures The diversity of cystic lining epithelial and the transition zone between the disorganized bi-layered oncocytic epithelium and mono-/multi-layered oncocytic epithelium appeared Epidermoid Mucus- producing cells Dense lymphocytic infiltrate with lymphoid follicle occur CRTC1/3-MAML2 rearrangement
MEC with TALP Solid or cystic structures Lack the diversity of cystic lining oncocytic epithelium
mWT excretory ducts Papillary architecture Typical bi-layered oncocytic cells. Focal Nonkeratinized squamoid cells mucoid metaplasia accompanied with necrosis, haemorrhages and fibrosis. Dense lymphocytic infiltrate with lymphoid follicle absent Non-specific

Note MEC: mucoepidermoid carcinoma, TALP: Tumor-associated lymphoid proliferation (TALP), mWT: Metaplastic Warthin tumor.