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 inJournal of applied oral science Vol. 19; no. 2; pp. 182 - 188
Main Authors Goulart, Maria Carolina Vaz, Freitas-Faria, Patrícia, Goulart, Gláuter Rodrigues, Oliveira, Adriano Macedo de, Carlos-Bregni, Roman, Soares, Cleverson Teixeira, Lara, Vanessa Soares
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Faculdade de Odontologia de Bauru da Universidade de São Paulo 01.04.2011
Faculdade De Odontologia De Bauru - USP
University of São Paulo
Subjects
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
Salivary gland neoplasms
Pleomorphic adenoma
Diagnosis
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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.
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
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Issue 2
Keywords Salivary gland neoplasms
Pleomorphic adenoma
Diagnosis
Language English
Portuguese
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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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StartPage 182
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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