Pleomorphic adenoma with extensive squamous metaplasia and keratin cyst formations in minor salivary gland: a case report
Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. It most frequently affects the parotid gland, followed by the submandibular and the minor salivary glands. Microscopically, mucous, seb...
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Published in | Journal of applied oral science Vol. 19; no. 2; pp. 182 - 188 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English Portuguese |
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Brazil
Faculdade de Odontologia de Bauru da Universidade de São Paulo
01.04.2011
Faculdade De Odontologia De Bauru - USP University of São Paulo |
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Abstract | Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. It most frequently affects the parotid gland, followed by the submandibular and the minor salivary glands. Microscopically, mucous, sebaceous, oncocytic and squamous metaplasia, sometimes with the formation of keratin pearls, may be present, but the latter rarely results in the formation of extensive keratin-filled cysts lined by squamous epithelium. Extensive squamous metaplasia can be mistaken for malignancy, including mucoepidermoid carcinoma and squamous cell carcinoma. Here, we present an unusual case of PA with extensive squamous metaplasia and keratin cyst formations in a minor salivary gland, and discuss its microscopic features, including the immunohistochemical characteristics, and differential diagnosis of this uncommon presentation. |
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AbstractList | Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to
65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. It
most frequently affects the parotid gland, followed by the submandibular and the
minor salivary glands. Microscopically, mucous, sebaceous, oncocytic and squamous
metaplasia, sometimes with the formation of keratin pearls, may be present, but the
latter rarely results in the formation of extensive keratin-filled cysts lined by
squamous epithelium. Extensive squamous metaplasia can be mistaken for malignancy,
including mucoepidermoid carcinoma and squamous cell carcinoma. Here, we present an
unusual case of PA with extensive squamous metaplasia and keratin cyst formations in
a minor salivary gland, and discuss its microscopic features, including the
immunohistochemical characteristics, and differential diagnosis of this uncommon
presentation. Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. It most frequently affects the parotid gland, followed by the submandibular and the minor salivary glands. Microscopically, mucous, sebaceous, oncocytic and squamous metaplasia, sometimes with the formation of keratin pearls, may be present, but the latter rarely results in the formation of extensive keratin-flled cysts lined by squamous epithelium. Extensive squamous metaplasia can be mistaken for malignancy, including mucoepidermoid carcinoma and squamous cell carcinoma. Here, we present an unusual case of PA with extensive squamous metaplasia and keratin cyst formations in a minor salivary gland, and discuss its microscopic features, including the immunohistochemical characteristics, and differential diagnosis of this uncommon presentation. Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland tumors. It most frequently affects the parotid gland, followed by the submandibular and the minor salivary glands. Microscopically, mucous, sebaceous, oncocytic and squamous metaplasia, sometimes with the formation of keratin pearls, may be present, but the latter rarely results in the formation of extensive keratin-filled cysts lined by squamous epithelium. Extensive squamous metaplasia can be mistaken for malignancy, including mucoepidermoid carcinoma and squamous cell carcinoma. Here, we present an unusual case of PA with extensive squamous metaplasia and keratin cyst formations in a minor salivary gland, and discuss its microscopic features, including the immunohistochemical characteristics, and differential diagnosis of this uncommon presentation. |
Author | Freitas-Faria, Patrícia Carlos-Bregni, Roman Lara, Vanessa Soares Oliveira, Adriano Macedo de Goulart, Gláuter Rodrigues Soares, Cleverson Teixeira Goulart, Maria Carolina Vaz |
AuthorAffiliation | 2 DDS, PhD student, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil 7 DDS, MSc, PhD, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil 3 DDS, Specialist in Oral and Maxillofacial Surgery and Traumatology, Private Practice, Piumhi, MG, Brazil 4 MD, Specialist in Pathological Anatomy, José do Rosário Vellano University, Unifenas, Alfenas, MG, Brazil 1 DDS, MSc, PhD student, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil 6 MD, Pathologist, Lauro de Souza Lima Institute and Institute of Anatomopathology of Bauru (ANATOMED), Bauru, SP, Brazil 5 DDS, Director, Division of Pathology, Centro Clinico de Cabeza y Cuello, Guatemala City, Guatemala |
AuthorAffiliation_xml | – name: 1 DDS, MSc, PhD student, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil – name: 6 MD, Pathologist, Lauro de Souza Lima Institute and Institute of Anatomopathology of Bauru (ANATOMED), Bauru, SP, Brazil – name: 5 DDS, Director, Division of Pathology, Centro Clinico de Cabeza y Cuello, Guatemala City, Guatemala – name: 4 MD, Specialist in Pathological Anatomy, José do Rosário Vellano University, Unifenas, Alfenas, MG, Brazil – name: 3 DDS, Specialist in Oral and Maxillofacial Surgery and Traumatology, Private Practice, Piumhi, MG, Brazil – name: 2 DDS, PhD student, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil – name: 7 DDS, MSc, PhD, Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil – name: Universidade de São Paulo – name: Centro Clinico de Cabeza y Cuello – name: Institute of Anatomopathology of Bauru – name: Instituto Lauro de Souza Lima – name: Universidade José do Rosário Vellano |
Author_xml | – sequence: 1 givenname: Maria Carolina Vaz surname: Goulart fullname: Goulart, Maria Carolina Vaz email: mariacarolinaodonto@yahoo.com.br organization: Department of Stomatology (Oral Pathology), Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil. mariacarolinaodonto@yahoo.com.br – sequence: 2 givenname: Patrícia surname: Freitas-Faria fullname: Freitas-Faria, Patrícia – sequence: 3 givenname: Gláuter Rodrigues surname: Goulart fullname: Goulart, Gláuter Rodrigues – sequence: 4 givenname: Adriano Macedo de surname: Oliveira fullname: Oliveira, Adriano Macedo de – sequence: 5 givenname: Roman surname: Carlos-Bregni fullname: Carlos-Bregni, Roman – sequence: 6 givenname: Cleverson Teixeira surname: Soares fullname: Soares, Cleverson Teixeira – sequence: 7 givenname: Vanessa Soares surname: Lara fullname: Lara, Vanessa Soares |
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Snippet | Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland... Pleomorphic adenoma (PA), the most common salivary gland tumor, accounts for 54 to 65% of all salivary gland neoplasias and 80% of the benign salivary gland... |
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SubjectTerms | Adenoma, Pleomorphic - pathology Adult Case Report Dentistry DENTISTRY, ORAL SURGERY & MEDICINE Diagnosis Humans Immunohistochemistry Keratins - biosynthesis Male Metaplasia Pleomorphic adenoma Salivary gland neoplasms Salivary Gland Neoplasms - pathology Salivary Glands, Minor - pathology |
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Title | Pleomorphic adenoma with extensive squamous metaplasia and keratin cyst formations in minor salivary gland: a case report |
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