Large pleomorphic adenoma

Case contributed by A.Prof Frank Gaillard

Presentation

Chewing and swallowing difficulty, with left TMJ region pain.

Patient Data

Age: 40
Gender: Female
CT

A large left parapharyngeal heterogenously mild enhancing solid mass lesion with some calcifications, reaching close to pterygoid muscles, and causing oropharyngeal attenuation.

Case Discussion

Large pleomorphic adenoma.

Histology

Left parapharyngeal mass, resection: Pleomorphic adenoma.

Gross description

Received is a single container consists of a rubbery nodule weighing 26 g and measuring 5 x 4.5 x 2.7 cm. Smooth external surface is inked in black. A cross-section of the nodule shows fibrous homogeneous structure with a possible central area of scarring.

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Case information

rID: 9924
Case created: 31st May 2010
Last edited: 21st Nov 2015
System: Head & Neck
Inclusion in quiz mode: Included

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