Large pleomorphic adenoma

Case contributed by Assoc Prof Frank Gaillard

Presentation

Chewing and swallowing difficulty, with left TMJ region pain.

Patient Data

Age: 40 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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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