Top PDF Pleomorphic Adenoma in Own Material

Pleomorphic Adenoma in Own Material

Pleomorphic Adenoma in Own Material

Gruczolak wielopostaciowy (adenoma poly- morphum, tumor mixtus) albo guz mieszany śli- nianki należy do najczęstszych nowotworów tego narządu. Występuje zarówno w dużych gruczo- łach ślinianek, jak i w drobnych gruczołach ślino- wych błony śluzowej jamy ustnej, gardzieli, warg, zatok szczękowych, oskrzela, a także w obrębie żuchwy oraz w gruczołach łzowych. Stanowi 80% nowotworów tych struktur [2].

6 Read more

Cytopathological study of salivary gland lesions by fine needle aspiration cytology

Cytopathological study of salivary gland lesions by fine needle aspiration cytology

It commonly presents as a solitary well-defined, slow growing and painless swelling. Mean age of the patient is around 46 years and females are commonly affected than male. Pleomorphic adenoma is also known as mixed tumor as it contains both epithelial and also mesenchymal or stromal material. The tumor possibly develops from the pluripotent reserve cells of the intercalated duct.

9 Read more

Maspin and MCM2 immunoprofiling in salivary gland carcinomas

Maspin and MCM2 immunoprofiling in salivary gland carcinomas

The material of this study consisted of 53 formalin-fixed, paraffin-embedded specimens of malignant salivary gland neoplasms, all collected from the archives of the General Pathology Department, Faculty of Medicine, Ain Shams University and National Cancer Institute, Cairo University. Fifteen cases of mucoepidermoid carcinoma (MEC), 10 of which were diagnosed as high grade and the other 5 cases as low grade, 14 cases of adenoid cystic carcinoma (ADCC), 5 cases of salivary duct carcinoma (SDC), 3 cases of epi-myoepithelial carcinoma (EMC), 5 cases of malig- nant pleomorphic adenoma (MPA), 6 cases of polymor- phous low-grade adenocarcinoma (PLGA) and 5 cases of acinic cell carcinoma (ACC). Clinical information about lymph node metastasis was obtained from patients ’ medi- cal records (summary of cases is displayed in table 1). For all specimens five micrometer thick sections were pre- pared and stained with hematoxylin and eosin to confirm the diagnosis.
Show more

8 Read more

Quantitative promoter methylation differentiates carcinoma ex pleomorphic adenoma from pleomorphic salivary adenoma

Quantitative promoter methylation differentiates carcinoma ex pleomorphic adenoma from pleomorphic salivary adenoma

This study provides for the first time, a comparative DNA methylation profiling between Ca ex PSA and PSA. Due to the rarity of Ca ex PSA, the investigation was based on only 31 cases of Ca ex PSA even though the combined cases of two large British cities constituting a population of around 7 million over 14 years were used. Seven cases were included based on particular clinical history and histopathological evidence of malignancy rather than the histologically demonstrable presence of pre-existing / ghost of PSA. It is noted that these cases gave comparable results to those that did present with demonstrable PSA, which supports their inclusion in the material.
Show more

19 Read more

Juvenile pleomorphic adenoma of the cheek: a case report and review of literature

Juvenile pleomorphic adenoma of the cheek: a case report and review of literature

The differential diagnosis of the juvenile pleomorphic adenoma of the cheek (Table 1) includes buccal space abscess, dermoid cyst, foreign body reaction, fibroma, lipoma, neurofibroma, rhabdomyosarcoma, mucoepider- moid carcinoma, adenoid cystic carcinoma, polymor- phous low-grade adenocarcinoma and carcinoma ex pleomorphic adenoma [16,18]. The possibility of buccal space abscess was ruled out due to absence of sign of inflammation. The solid nature of the lesion coupled with the lack of tissue representing the three germ layers rule out the possibility of mature cystic teratoma (dermoid cyst). The lack of ulceration of the buccal mucosa, pain, paresthesia or invasion of the surrounding tissue rules out the possibility of malignant transformation. Carcinoma ex pleomorphic adenoma is characterized by the presence of malignant epithelium (salivary duct carcinoma, undif- ferentiated carcinoma, adenocarcinoma not otherwise specified, terminal duct carcinoma or myoepithelial carci- noma) with benign stroma. Carcinoma ex pleomorphic adenoma is extensively infiltrative malignancy with necrosis, perineurial invasion, frequent mitotic figures, marked nuclear atypia. Adenoid cystic carcinoma usually shows cribriform, solid or tubular pattern similar to cylin- dromas of skin. It is composed of small bland myoepithe- lial cells with scant cytoplasm and dark compact angular nuclei that surround pseudoglandular spaces with PAS+ excess basement membrane material and mucin. Periph- eral perineurial invasion and small true glandular lumina are sometimes seen but no squamous differentiation; or extensive necrosis are usually absent. Adenoid cystic carci- noma has high proliferative index, high p53 immunoreac- tivity, intense staining for BCL-2 but negative reactivity for glial fibrillary acidic protein. In contrast, pleomorphic adenoma is not invasive, show no perineurial invasion; has squamous metaplasia and mesenchyme-like areas. Charactaristically, pleomorphic adenoma has strong glial fibrillary acidic protein in the myxochondromatous areas [19]. The basal cell carcinoma is a low grade malignancy similar to basal cell adenoma. It is an infiltrative tumor with perineurial invasion and vascular invasion; variable cytologic atypia and mitotic activity. It is composed of solid, trabecular, tubular or membranous patterns but there is no myxoid matrix or cartilegenous areas. The basal cell adenoma is composed of basaloid cells sharply delin- The histological features of the juvenile pleomorphic ade-
Show more

5 Read more

Pleomorphic Adenoma of the Hard and Soft Palate: A Case Presentation and Literature Review of Minor Salivary Gland Neoplasms

Pleomorphic Adenoma of the Hard and Soft Palate: A Case Presentation and Literature Review of Minor Salivary Gland Neoplasms

The minor salivary glands are widely dispersed throughout the upper respiratory tract, including the palate, lip, pharynx, nasopharynx, larynx, parapharyngeal space and sinonasal cavities. The greatest densities of glands are found in the hard and soft palates, while they are not present in the gingival or the midline and anterior part of the hard palate [1]. The most common tumor of the palate is the pleomorphic ade- noma, accounting for approximately 40% - 52% of all palatal minor salivary gland tumors [2]-[4].

6 Read more

Myoepithelioma of the Soft Palate: a Case Report Giving 
  Special Attention to the Differential Diagnosis

Myoepithelioma of the Soft Palate: a Case Report Giving Special Attention to the Differential Diagnosis

myoepitheliomas. Among them, benign and malignant tumours such as pleomorphic adenoma, adenocarcinoma, nerve sheath tumour, fibrous hystiocytoma, nodular fasciitis, synovial sarcoma, leiomyoma, leiomyosarcoma, hemangiopericytoma, solitary fibrous tumour and paraganglioma may be cited. In that way, it is very important to differentiate myoepitheliomas from malignant neoplasms [11,12]. Clinical appearance of the lesions mentioned above can share similarity with myoepitheliomas and the only safe way to differentiate them is by the means of histological evaluation. Myoepitheliomas present rare mitoses and absence of nuclear and cellular pleomorphism as well as a non-infiltrative growth typical of a benign tumour [11]. The tumour cells are also generally positive for smooth muscle actin (SMA) [13].
Show more

5 Read more

Original Article Lacrimal gland Neoplasms: A 10 Year Retrospective Study

Original Article Lacrimal gland Neoplasms: A 10 Year Retrospective Study

Results: The most common neoplasms in our study were epithelial neoplasms, of which, pleomorphic adenomas (benign) had the highest frequency followed by adenoid cystic carcinoma(malignant). These were followed by lymphoid tumors which included reactive lymphoid hyperplasia and malignant lymphomas. Mesenchymal tumors included neurofibromas and lymphangioma. There was one case of metastatic breast carcinoma.

9 Read more

Tumours of salivary glands in the stomatology and maxillo facial surgery unit at the university hospital centre —Yalgado Ouédraogo

Tumours of salivary glands in the stomatology and maxillo facial surgery unit at the university hospital centre —Yalgado Ouédraogo

The aim of this study was to contribute to strengthen- ing the efficiency in the treatment of the salivary gland tumours in the Stomatology and Maxillo-facial surgery service at the University Hospital Centre/Yal- gado OUEDRAOGO of Ouagadougou. It has been a retrospective and descriptive study covering seven (7) years [January 2006-December 2012] on epidemiol- ogy and the treatment of 54 cases of the salivary glands tumours histologically confirmed. Benign tu- mours (non-malignant tumours were prevalent (61.11% of cases). The annual incidences were 4.71 cases for non malignant tumours and 3 cases for malignant tumours. The average age was 34 - 45 years for non malignant tumours and 44 - 33 years for malignant ones. In both groups, the tumour was discovered lately with an average 32 - 48 months before consult- ing in case of non malignant tumours and 18 - 29 mon- ths for malignant tumours. The location of non ma- lignant tumours was very often the parotid (42.42%), under mandible gland (27.28%). Malignant tumours very often concerned the parotid (76.18%) and the under mandible gland (14.29%). The histology has revealed that pleomorphic adenoma was the leading type of non-malignant tumours (93.94% of cases) whereas carcinoma was predominant in malignant tumours (80.95% of cases). Long term track keeping was difficult and it has been complicated by the loss of contact with some patients. The low living stand- ard, the time wasted before consulting, limited human resources and therapeutic means constitute handicaps to the treatment in our African context.
Show more

6 Read more

Clinico Pathologic Study of Salivary Gland Disorders at a Sub Urban Nigerian Tertiary Hospital: A 5 Year Retrospective Review

Clinico Pathologic Study of Salivary Gland Disorders at a Sub Urban Nigerian Tertiary Hospital: A 5 Year Retrospective Review

Salivary gland neoplasms [n = 39, 60.0%] were the commonest lesions in this study followed by sialolithiasis [21.5%]. Mucous retention/extravasation cysts accounted for 13.9% [n = 9] of the cases [Figure 1]. Pleomorphic adenoma was the predominant tumor in this series [87.2%] while Warthin’s tumor and low grade mucoepidermoid carcinoma accounted for 7.8% and 5.1% respectively. Parotid gland was the commonest site for pleomorphic adenoma [n = 20, 58.8%] followed by the palate [n = 8, 23.5%] [Figure 2]. The two cases of mucoepider- moid carcinoma encountered occurred, one each in the parotid and submandi- bular glands. Warthin’s tumor affected only the submandibular gland.
Show more

7 Read more

Clinical and histopathological study of orbital tumors

Clinical and histopathological study of orbital tumors

Dermoids were excised completely. A lateral orbitotomy, with temporary removal of the lateral orbit wall was done for lesions in the lacrimal fossa and lateral orbit, including the areas above and below the optic nerve. Ten lateral orbitotomies were done. Most of them were for cavernous hemangioma followed by pleomorphic adenoma of lacrimal gland. Seven anterior orbitotomies were done. They were performed for Cavernous hemangioma, meningioma, pleomorphic adenoma of lacrimal gland, diffuse large B cell lymphoma. An upper lid splitting technique was used for superior lesions.
Show more

5 Read more

Pleomorphic Adenoma of a Minor Salivary Gland of the Hard Palate Report of a Case

Pleomorphic Adenoma of a Minor Salivary Gland of the Hard Palate Report of a Case M. Chandra Sekhar 1, D. Ayesha Thabusum 1* , M. Charitha 1, G. Chandrasekhar1 and K. Sai Dharani 1

account for less than 3% of head and neck tumors [1]. Pleomorphic adenoma is the most common salivary gland 70% of all major and minor salivary gland tumors [2]. The most common site of this tumor in the oral cavity is the palate (42.63%) followed by lip (10%), buccal mucosa (5.5%), and retromolar area (0.7%) and uncommonly affecting the floor of the mouth [3]. It is also called a mixed salivary gland tumor because of its dual origin from the epithelium and ls [4]. A case of Pleomorphic adenoma of the minor salivary gland of the
Show more

6 Read more

Squamous cell carcinoma ex pleomorphic adenoma a case report

Squamous cell carcinoma ex pleomorphic adenoma a case report

Among different salivary gland tumors, carcinoma ex pleomorphic adenoma (Ca ex PA) accounts for approximately 3.6% (1). It constitutes 6.2% of all pleomorphic adenoma (PA) and 11.7% of all malignant salivary gland neoplasms (1, 2). Furthermore, the risk of malignant transformation in PAs in the first five years after evolution of the lesion is 1.6% (3). Car ex PA is defined as an epithelial malignant transformation within a primary or previous PA, and is often considered as a diagnostic challenge for the pathologists and clinicians, since it is difficult to
Show more

6 Read more

Human epithelial growth factor receptor 2 in human salivary carcinoma ex pleomorphic adenoma: a potential therapeutic target

Human epithelial growth factor receptor 2 in human salivary carcinoma ex pleomorphic adenoma: a potential therapeutic target

4,5 Previous studies have shown that HER2 is overexpressed in salivary malignant pleomorphic adenoma and is involved in multiple cellular pathways, including cell proliferation, adhesi[r]

9 Read more

Case Report Primary ductal adenocarcinoma of the lacrimal sac: the first reported case

Case Report Primary ductal adenocarcinoma of the lacrimal sac: the first reported case

In this report, we described the first document- ed case of primary ductal adenocarcinoma of the lacrimal sac. Ductal adenocarcinoma is a relatively rare malignant tumor that mainly occurs in the salivary gland, especially in the parotid gland, which represents approximately 9% of salivary malignancies, and is referred to as salivary duct carcinoma (SDC) [7]. This type of tumor is also reported in the lacrimal [8, 9] and minor salivary glands [7, 10]. SDC is char- acterized histopathologically by the presence of a cribriform growth pattern with comedone- crosis, which is composed of neoplastic cells containing rich eosinophilic granular cytoplasm and large pleomorphic nuclei with conspicuous nucleoli, and resembles ductal carcinoma of the breast [7]. Positive immunoreactivity for GCDFP-15 and AR is characteristic, and more- over, most SDC show positive membranous staining for HER2/neu protein [7, 10, 11]. The histopathological features of the present case corresponded to SDC because typical cribri- form growth with comedonecrosis, which was composed of neoplastic cells containing rich granular eosinophilic cytoplasm and large round to oval nuclei. Poorly differentiated area comprising of small-sized glands, cords or sin- gle cells as seen in the present case can be Figure 1. Computed tomography shows an irregular-
Show more

6 Read more

Current thinking about the management of recurrent pleomorphic adenoma of the parotid: a structured review

Current thinking about the management of recurrent pleomorphic adenoma of the parotid: a structured review

Controversies are evident from this work and mostly relate to the type of operation and the use of post-operative radiotherapy. Often clinicians adopt a pragmatic view that takes into account the location of the recurrent tumour, whether it is a multinodular or uninodular recurrence, the size and the rate of growth as well as the patient’s co-morbidities. Selected cases can be observed. Conservative surgical management can include partial superficial parotidectomy or extracapsular dissection. In patients that are symptomatic but unfit for a surgical intervention, radiotherapy could be suggested as an alternative for surgery. Total parotidectomy, is appropriate in many patients, but may be inadequate to control recurrent pleomorphic adenomas. Adjuvant radiotherapy seem to significantly improved control in multinodular recurrences 56 . Sometimes the clinical scenario may include elderly patients with multifocal recurrences where the facial nerve is engulfed by scar and tumour. Limited data 55,60 suggested a role for radical parotidectomy with immediate nerve reconstruction.
Show more

32 Read more

Case Report Pleomorphic adenoma of the breast: a report of two cases and a literature review

Case Report Pleomorphic adenoma of the breast: a report of two cases and a literature review

Abstract: Pleomorphic adenoma of the breast (PAB) is an extremely rare tumor in the breast. Herein, we reported two Asian female patients diagnosed as PAB and reviewed the relevant literature briefly. The two cases were both diag- nosed as fibroadenoma in breast ultrasonography before surgery. Case one is a 28-year-old woman presented with a seven year history of a slowly-growing painless mass in left breast, which was about 1.46×0.93 cm in size. Case two is a 47-year-old female who had a complaint of left breast mass three months ago, which was 2.31×1.37 cm in size. The two tumors both located under areola. The two patients both underwent lumpectomy. Microscopically, they were both comprised of mixture of epithelial cells and myoepithelial cells embedded in myxochondroid matrix background. Immunohistochemically, the two cases displayed positive cytokeratin 7 (CK7) for epithelial cells, posi- tive smooth muscle actin (SMA) and S-100 for myoepithelial cells. PAS staining was positive in case two. According to the pathologic histology and immunohistochemical findings, the two cases were diagnosed as PAB. However, the pathogenesis of PAB has been unclear and further studies remain to be researched.
Show more

7 Read more

Congenital Salivary Gland Anlage Tumor of the Nasopharynx

Congenital Salivary Gland Anlage Tumor of the Nasopharynx

Salivary gland anlage tumor (SGAT), also referred to as congenital pleomorphic adenoma, is a benign congenital tumor of the nasopharynx, which may produce nasal obstruction and other associated, non- specific symptoms. We report a case of SGAT caus- ing nasal obstruction and feeding difficulties in the neonatal period. A common diagnostic approach to neonatal nasal obstruction was performed, resulting in an unexpected and potentially life-threatening, albeit curative, result. The differential diagnosis and clinical approach to managing neonates with symp- toms of nasal obstruction is discussed.
Show more

6 Read more

Parotidectomy, complications and management: our experience

Parotidectomy, complications and management: our experience

the age group of 41-50 years. Most common histopathology encountered in HPE was pleiomorphic adenoma. The most common complications encountered were different grades and types of facial nerve palsy. Parotidectomy of various types are surgical procedures done frequently by the both the department of ENT as well the department of General Surgery of various institutes. The extent of surgery depends on the pre- operative FNAC, clinical and radiological assessment and nothing can replace the expertise and anatomical knowledge of a skilful and experienced parotid surgeon. In fact, this paper is an institutional audit of parotid surgeries done in the Head neck unit of our ENT department during the mentioned time period. Indeed, it was an observation that more the number of cases were operated by the same group of skilled surgeons, less frequent were the complication, which is always expected. In conclusion, this was a demographic study of the various types of parotid surgeries encountered in our practice, their histopathology, their complications and the management of the complications involved. This is also a comprehensive guide to future parotid surgeons to avoid various complications during parotid surgery and how to manage them if complications occur.
Show more

6 Read more

Histomorphological patterns of  salivary gland tumors

Histomorphological patterns of salivary gland tumors

Microscopically the tumor cells are arranged in different morphological growth patterns like cribriform, tubular, solid, and mixed pattern. The most common pattern is cribriform pattern which is composed of numerous pseudocystic spaces which are filled with hyalinized eosinophilic material. In tubular pattern bilayered epithelium is made up of, the inner ductal epithelial cells and the outer myoepithelial cells. Occasional cases show squamous, oncocytic and sebaceous metaplasia 64 .

150 Read more

Show all 10000 documents...