Submandibular pleomorphic adenoma

Case contributed by Dr Andrew Ryan

Presentation

Mass in right submandibular gland.

Patient Data

Age: 45
Gender: Male
Ultrasound

Ultrasound demonstrates a well circumscribed hypoechoic mass in the right submandibular gland, measuring 1.0 x 1.2  x 1.4cm in diameter. Colour examination demonstrates prominent internal vascularity.

 Images courtesy of Dr Anthony Upton

Pathology

FNA mass in right submandibular gland.

The FNA smears show classic features of pleomorphic adenoma:

  • cellular, with single to irregular groups and sheets of epithelial cells
  • interspersed stromal fragments
  • background population of myoepithelial cells - often described as having a 'plasmacytoid' appearance

FNA submandibular gland (pap stain) - The smears show large numbers of epithelial cells interspersed with vaguely fibrillary to whispy stroma. 

Case Discussion

 

 

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Case information

rID: 16681
Published: 10th Feb 2012
Last edited: 16th Jul 2018
System: Head & Neck
Inclusion in quiz mode: Excluded

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