WSI22-143: Salivary

Request details

Request type Study

Subspecialty Head and Neck

Set ENT Pathology

Topic Salivary

Presenter Sadow, Peter M.,MD, PhD

Date and time Saturday, October 1, 2022 12:00 PM

Add more cases

Toggle columns: Diagnosis

Case	Clinical history	Requester	Diagnosis
Case	Clinical history	Requester	Diagnosis
Case 1	60 year old female with left middle fossa CSF leak	Si787	Meningoencephalocele
Case 2	43 year old female: biopsy of minor salivary tissue of lip	Si787	Focus score = 6. c/w Sjogren syndrome
Case 3	88 year old retired surgeon with right temple Mohs now with parotid mass	Si787	Metastatic SCC • high grade • with large vessel invasion • and PNI & + margin
Case 4	63 year old male with parotid tumor	Si787	c/w myoepithelial carcinoma • intermediate grade (1.8 cm) • completely excised
Case 5	45 year old female with left parotid mass noted 2 wks prior. Asymptomatic • noted by a friend	Si787	Acinic cell carcinoma with ductal and neuroendocrine features (4.8 cm) • completely excised
Case 6	61 year old man with several years history of non-growing parotid mass recently painful	Si787	Oncocytic carcinoma • low grade with perineural invasion
Case 7	61 year old male with parotid mass	Si787	Salivary duct carcinoma with high grade sarcomatoid transformation
Case 8	57 year old male presenting with slowly growing mass in the left parotid found to be a pleomorphic adenoma on FNA	Si787	Carcinoma ex-pleomorphic adenoma. Mucoepidermoid carcinoma arising in a PA. Negative margins
Case 9	53 year old female with slow-growing submandibular mass for more than a year	Si787	Low grade oncocytic cystic salivary neoplasm (1.1cm) most compatible with a mucoepidermoid carcinoma (MAML2 translocation)
Case 10	64 year old male with left parotid mass	Si787	Low-grade lumphoepithelial lesion with features suggestive of Warthin tumor with metaplastic features. 1.7 cm
Case 11	17 year old female with "bump" in hard palate for several year adjacent to tooth #14	Si787	Acinic cell carcinoma • microcystic pattern (0.45 cm) • 0.1 cm from deep margin
Case 12	59 year old male with remote history of melanoma. Adenopathy on the right neck	Si787	Adenoid cystic carcinoma In a right submandibular gland with dedifferentiation to high grade carcinoma with comedonecrosis and ductal-type differentiation
Case 13	61 year old male with left parotid mass slowly growing and recently painful	Si787	Oncocytic carcinoma • low grade • with extensive perineural invasion. P63 positive • RCC negative
Case 14	64 year old female with history of palate lesion (junction of hard and soft) four year before • presents with a right sided level IIa mass	Si787	Metastatic mucoepidermoid carcinoma
Case 15	62 year old female with lesion of the tail of the left parotid	Si787	62 year old female with lesion of the tail of the left parotid
Case 16	10 year old female with preauricular cyst	Si787	1st branchial cleft cyst • work type 2
Case 17	73 years old female with right sinus mass	Si787	Moderately differentiated squamous cell carcinoma arising within a largely schnederian papilloma inverted type
Case 18	73 years old female with right sinus mass	Si787	Moderately differentiated squamous cell carcinoma arising within a largely schnederian papilloma inverted type
Case 19	67 years old female with right parotid mass	Si787	Low-grade salivary gland neoplasm most consistent with adenoid cystic carcinoma KIT negative • no PNI --> strange case
Case 20	82 years old male with palate lesion	Si787	Myoepithelial predominant pleomorphic adenoma with a diffuse growth pattern (1.6 cm)
Case 21	40 years old male with left parotid mass	Si787	Low grade salivary gland neoplasm with atypical features most compatible with cellular myoepithelial predominant pleomorphic adenoma
Case 22	70 years old male with submandibular mass	Si787	Infiltrative carcinoma compatible with adenoid cystic carcinoma • solid type
Case 23	53 years old female with enlarging mass in right parotid for 8 years	Si787	Pleomorphic adenoma. Complete excision.
Case 24	43 years old male with hard palate mass. Rule out malignancy	Si787	Myoepithelial rich pleomorphic adenoma
Case 25	62 years old with left parotid mass with extension into the external auditory canal	Si787	Mucoepidermoid carcinoma • oncocytic type • low to focally intermediate grade
Case 26	28 year old male	Si787	Myoepithelial–predominant pleomorphic adenoma with atypical features.
Case 27	69 year old male	Si787	High-grade poorly differentiated adenocarcinoma most consistent with salivary duct carcinoma.
Case 28	19 year old male	Si787	Acinic cell carcinoma with cystic • papillary • microcystic and solid areas
Case 29	88 year old male	Si787	Epithelial-myoepithelial carcinoma
Case 30	50 year old female with mass of left parotid gland.	Emw8	Basal cell adenoma
Case 31	70-year-old woman with a 1.7 cm left parotid mass.	Pms36	Acinic cell carcinoma (1.7 cm) • apparently completely excised with a prominent lymphocytic cuff. Tumor cells are positive for NR4A3 (nuclear) and Dog1 (reticular pattern). The immunohistochemical findings support the diagnosis.
Case 32	70-year-old woman with a 1.7 cm left parotid mass.	Pms36	Acinic cell carcinoma (1.7 cm) • apparently completely excised with a prominent lymphocytic cuff. Tumor cells are positive for NR4A3 (nuclear) and Dog1 (reticular pattern). The immunohistochemical findings support the diagnosis.