Knowledge (XXG)

Pleomorphic adenoma

Source 📝

288:
enucleations, pleomorphic adenomas of parotid gland were recommended to be routinely treated with superficial or total parotidectomy. These procedures combine complete tumor removal and identification of the main trunk of facial nerve during surgery to avoid any lesions to the nerve. However, extensive surgery may cause significant morbidity, such as Frey´s syndrome (excessive sweat while eating) and salivary fistula. Also, aesthetic outcome may be compromised. Therefore, less invasive procedures have been preferred in selected cases during the recent years, and introduction of perioperative neuromonitoring enabled the evolution of several different surgical techniques some twenty years ago.
141:, it can recur after resection, it invades normal adjacent tissue, and distant metastases have been reported after long (+10 years) time intervals. This tumour most often presents in the lower pole of the superficial lobe of the gland, about 10% of the tumours arise in the deeper portions of the gland. It occurs more frequently in females than in males, the ratio approximating 6:4. The majority of the lesion are found in patients in the fourth to sixth decades with an average age of occurrences of about 43 years, but these are relatively common in young adults and have been known to occur in children. 268: 161: 76: 260: 48: 150: 202: 292:
experience of surgeon plays a key role in the results of these distinct procedures.  An important point of view is that recurrent pleomorphic adenomas may occur after a very long time from primary surgery, on average over 7–10 years but up to 24 years afterwards. Thus, it is of utmost importance to evaluate the ultimate results of these different surgical techniques in the future.
59:). It can usually be diagnosed by its typical fibrillary stroma (mesenchyme). Stromal cell nuclei are small. Myoepithelial cells are usually the predominant cell type, and their nuclei can have various shapes but are usually more elongated than in epithelial cells. Epithelial cell nuclei may have prominent nucleoli. 283:
Surgical treatment of parotid gland tumors is sometimes difficult, partly because of the anatomical relationship of the facial nerve and the parotid lodge, but also through the increased potential for postoperative relapse. Thus, detection of early stages of a tumor of the parotid gland is extremely
181:
that may be mucoid, myxoid, cartilaginous or hyaline. Epithelial elements may be arranged in duct-like structures, sheets, clumps and/or interlacing strands and consist of polygonal, spindle or stellate-shaped cells (hence pleiomorphism). Areas of squamous metaplasia and epithelial pearls may be
291:
Currently, the choice of surgical approach for parotid pleomorphic adenoma is mainly based on the size, location, and mobility of the tumor. The recommended main techniques include extracapsular dissection, partial superficial parotidectomy, and lateral or total parotidectomy. Nevertheless, the
287:
There have been several approaches for surgery of parotid pleomorphic adenoma in the course of time. Enucleation of the tumor (i.e. intracapsular dissection), a procedure that was common in the early 20th century, is nowadays obsolete due to very high incidence of recurrence. After the time of
314:
Malignant salivary tumors usually require wide local resection of the primary tumor. However, if complete resection cannot be achieved, adjuvant radiotherapy should be added to improve local control. This surgical treatment has many sequelae such as cranial nerve damage,
242:
In terms of imaging studies, ultrasound can determine and characterize superficial parotid tumors. Certain types of salivary gland tumors have certain sonographic characteristics on ultrasound. Ultrasound is also frequently used to guide FNA or core needle biopsy.
116:
The tumor is usually solitary and presents as a slow growing, painless, firm single nodular mass. Isolated nodules are generally outgrowths of the main nodule rather than a multinodular presentation. It is usually mobile unless found in the palate and can cause
702:
Schapher M, Koch M, Agaimy A, Goncalves M, Mantsopoulos K, Iro H (September 2019). "Parotid pleomorphic adenomas: Factors influencing surgical techniques, morbidity, and long-term outcome relative to the new ESGS classification in a retrospective study".
182:
present. The tumor is not enveloped, but it is surrounded by a fibrous pseudocapsule of varying thickness. The tumor extends through normal glandular parenchyma in the form of finger-like pseudopodia, but this is not a sign of malignant transformation.
246:
CT allows direct, bilateral visualization of the salivary gland tumor and provides information about overall dimension and tissue invasion. CT is excellent for demonstrating bony invasion. MRI provides superior soft tissue delineation such as
1191: 1176: 168:
Morphological diversity is the most characteristic feature of this neoplasm. Histologically, it is highly variable in appearance, even within individual tumors. Classically it is biphasic and is characterized by an admixture of polygonal
275:
Overall, the mainstay of the treatment for salivary gland tumor is surgical resection. Needle biopsy is highly recommended prior to surgery to confirm the diagnosis. More detailed surgical technique and the support for additional
92:) is a common benign salivary gland neoplasm characterised by neoplastic proliferation of epithelial (ductal) cells along with myoepithelial components, having a malignant potentiality. It is the most common type of 1966: 164:
Histopathology of pleomorphic adenoma (H&E stain). The stromal (also called mesenchymal) component often exhibits myxofibrous appearance and in some instances shows chondromatous differentiation.
572:
Koyuncu M, Seşen T, Akan H, Ismailoglu AA, Tanyeri Y, Tekat A, et al. (December 2003). "Comparison of computed tomography and magnetic resonance imaging in the diagnosis of parotid tumors".
213:(FNA) and core needle biopsy (bigger needle comparing to FNA). Both of these procedures can be done in an outpatient setting. Diagnostic imaging techniques for salivary gland tumors include 1288: 1823: 1122:
Terhaard CH, Lubsen H, Rasch CR, Levendag PC, Kaanders HH, Tjho-Heslinga RE, et al. (January 2005). "The role of radiotherapy in the treatment of malignant salivary gland tumors".
1206: 1959: 1843: 946:
Britt CJ, Stein AP, Gessert T, Pflum Z, Saha S, Hartig GK (February 2017). Eisele DW (ed.). "Factors influencing sialocele or salivary fistula formation postparotidectomy".
1952: 2177: 1281: 1274: 749:
Silvoniemi A, Pulkkinen J, Grénman R (November 2010). "Parotidectomy in the treatment of pleomorphic adenoma -- analysis of long-term results".
125:
when located in the parotid gland. When found in the parotid tail, it may present as an eversion of the ear lobe. Though it is classified as a
817: 2052: 1644: 1491: 322:
Usually about 44% of the patients have a complete histologic removal of the tumor and this refers to the most significant survival rate.
1327: 1214: 856:
Patey DH, Thackray AC (March 1958). "The treatment of parotid tumours in the light of a pathological study of parotidectomy material".
2047: 2172: 1404: 235:
Core needle biopsy can also be done in outpatient setting. It is more invasive but is more accurate compared to FNA with diagnostic
447:
Batsakis JG, Sneige N, el-Naggar AK (February 1992). "Fine-needle aspiration of salivary glands: its utility and tissue effects".
2057: 1895: 209:
The diagnosis of salivary gland tumors utilize both tissue sampling and radiographic studies. Tissue sampling procedures include
134: 228:
Fine needle aspiration biopsy (FNA), operated in experienced hands, can determine whether the tumor is malignant in nature with
1663: 1372: 137:, a risk that increases with time (9.5% chance to convert into malignancy in 15 years). Although it is "benign", the tumor is 1439: 1424: 1419: 108:
type", which refers to its dual origin from epithelial and myoepithelial elements as opposed to its pleomorphic appearance.
1537: 1444: 1838: 1828: 1549: 1486: 1038:
Leonetti JP, Marzo SJ, Petruzzelli GJ, Herr B (September 2005). "Recurrent pleomorphic adenoma of the parotid gland".
229: 1766: 1342: 222: 900: 267: 185:
The tumor often displays characteristic chromosomal translocations between chromosomes #3 and #8. This causes the
2167: 1890: 1778: 1559: 1944: 991:"Extracapsular dissection for clinically benign parotid lumps: reduced morbidity without oncological compromise" 387: 363: 2037: 2032: 1429: 1225: 1875: 2042: 2008: 1857: 1615: 1459: 1399: 1351: 101: 160: 1693: 1544: 1501: 1496: 259: 210: 47: 239:
greater than 97%. Furthermore, core needle biopsy allows more accurate histological typing of the tumor.
2027: 649:
Psychogios G, Bohr C, Constantinidis J, Canis M, Vander Poorten V, Plzak J, et al. (January 2021).
651:"Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors" 650: 2142: 1991: 1880: 1725: 1449: 1377: 812: 808: 93: 796: 533:"Role of ultrasonography in diagnosis and differentiation of pleomorphic adenomas: work in progress" 153: 75: 1796: 1678: 1478: 1454: 1414: 1409: 1322: 1195: 296: 248: 218: 804: 800: 1833: 1808: 1771: 1668: 1637: 1601: 1434: 1063: 971: 928: 881: 774: 728: 681: 597: 491: 472: 133:
have the capacity to grow to large proportions and may undergo malignant transformation, to form
2082: 331: 316: 1933: 1905: 1813: 1673: 1464: 1297: 1139: 1104: 1055: 1020: 963: 920: 873: 826: 766: 720: 673: 589: 554: 513: 464: 429: 304: 64: 1266: 263:
Relative incidence of parotid tumors, showing pleomorphic adenoma being a majority of tumors.
1762: 1658: 1596: 1532: 1131: 1094: 1047: 1010: 1002: 955: 912: 865: 758: 712: 665: 581: 544: 503: 456: 419: 122: 271:
Relative incidence of submandibular tumors, with pleomorphic adenoma being the most common.
1749: 1577: 792: 408:"Fine-needle aspiration biopsy of salivary gland lesions in a selected patient population" 186: 1885: 619: 1910: 1900: 1818: 1803: 1738: 1649: 1587: 1567: 1015: 990: 508: 105: 1200: 2161: 732: 685: 308: 232:
around 90%. FNA can also distinguish primary salivary tumor from metastatic disease.
174: 97: 1254: 1067: 885: 778: 601: 476: 17: 1928: 1572: 1474: 1391: 1364: 1332: 975: 932: 342: 300: 190: 178: 149: 126: 490:
Wan YL, Chan SC, Chen YL, Cheung YC, Lui KW, Wong HF, et al. (October 2004).
201: 104:(variable appearance) seen by light microscopy. It is also known as "Mixed tumor, 1230: 1135: 1051: 762: 585: 406:
Cohen EG, Patel SG, Lin O, Boyle JO, Kraus DH, Singh B, et al. (June 2004).
2129: 2124: 2116: 1999: 1983: 1920: 1758: 1632: 1627: 1527: 1301: 1099: 1082: 716: 669: 549: 532: 460: 424: 407: 193:. This activates the catenin pathway and leads to inappropriate cell division. 2102: 1865: 1714: 214: 170: 830: 1791: 1734: 1683: 1249: 1185: 869: 337: 299:
is treated by simple excision with preservation of mandibular branch of the
138: 56: 1143: 1108: 1059: 1024: 1006: 967: 924: 877: 770: 724: 677: 593: 558: 517: 433: 1081:
Ganly I, Patel SG, Coleman M, Ghossein R, Carlson D, Shah JP (July 2006).
468: 1975: 1304: 277: 236: 156:
specimen showing a well outlined solid neoplasm with cartilaginous areas.
69: 1168: 1987: 1387: 1360: 1308: 916: 130: 118: 959: 311:. Other benign tumors of minor salivary glands are treated similarly. 1623: 1523: 1515: 1180: 901:"Evolution and changing trends in surgery for benign parotid tumors" 899:
Mantsopoulos K, Koch M, Klintworth N, Zenk J, Iro H (January 2015).
396:
Last author update: 30 July 2021. Last staff update: 6 February 2023
372:
Last author update: 30 July 2021. Last staff update: 6 February 2023
492:"Ultrasonography-guided core-needle biopsy of parotid gland masses" 1710: 280:
radiotherapy depends on whether the tumor is malignant or benign.
200: 148: 1219: 834: 1948: 1270: 1979: 1124:
International Journal of Radiation Oncology, Biology, Physics
531:
Białek EJ, Jakubowski W, Karpińska G (September 2003).
1824:
Multiple cutaneous and uterine leiomyomatosis syndrome
384:
Image by Mikael Häggström. Reference for description:
1083:"Malignant minor salivary gland tumors of the larynx" 1158: 2115: 2091: 2066: 2016: 2007: 1998: 1919: 1856: 1747: 1723: 1701: 1692: 1614: 1586: 1558: 1514: 1473: 1386: 1359: 1350: 1341: 1315: 1240: 1162: 63: 37: 32: 1087:Archives of Otolaryngology–Head & Neck Surgery 537:Archives of Otolaryngology–Head & Neck Surgery 412:Archives of Otolaryngology–Head & Neck Surgery 989:McGurk M, Thomas BL, Renehan AG (November 2003). 449:The Annals of Otology, Rhinology, and Laryngology 284:important in terms of prognosis after surgery. 1960: 1282: 100:. It derives its name from the architectural 8: 2013: 2004: 1967: 1953: 1945: 1698: 1356: 1347: 1289: 1275: 1267: 1159: 658:European Archives of Oto-Rhino-Laryngology 613: 611: 74: 46: 29: 1098: 1014: 548: 507: 423: 705:Journal of Cranio-Maxillo-Facial Surgery 496:AJNR. American Journal of Neuroradiology 266: 258: 159: 380: 378: 354: 189:gene to be juxtaposed to the gene for 55:Cytopathology of pleomorphic adenoma ( 2053:Polymorphous low-grade adenocarcinoma 818:Rev. chir. oro-maxilo-fac. implantol. 744: 742: 697: 695: 7: 2178:Connective and soft tissue neoplasms 1040:Otolaryngology–Head and Neck Surgery 644: 642: 640: 638: 636: 574:Otolaryngology–Head and Neck Surgery 1328:Desmoplastic small-round-cell tumor 2048:Epithelial-myoepithelial carcinoma 846:(webpage has a translation button) 177:elements in a variable background 25: 1405:Aggressive infantile fibromatosis 205:Pleomorphic adenoma in ultrasound 96:and the most common tumor of the 2058:Hyalinizing clear cell carcinoma 1896:Clear-cell sarcoma of the kidney 813:"Parotid tumors: our experience" 135:carcinoma ex-pleomorphic adenoma 1664:Intradermal spindle cell lipoma 1373:Dermatofibrosarcoma protuberans 1492:Malignant fibrous histiocytoma 1440:Infantile digital fibromatosis 1425:Familial myxovascular fibromas 1420:Diffuse infantile fibromatosis 858:The British Journal of Surgery 1: 1538:Superficial acral fibromyxoma 1445:Juvenile hyaline fibromatosis 1839:Solitary cutaneous leiomyoma 1829:Multiple cutaneous leiomyoma 1550:Ossifying fibromyxoid tumour 1136:10.1016/j.ijrobp.2004.03.018 1052:10.1016/j.otohns.2005.04.008 763:10.3109/00016489.2010.488248 630:Diagrams by Mikael Häggström 586:10.1016/j.otohns.2003.07.009 2019:malignant epithelial tumors 1487:Benign fibrous histiocytoma 2194: 1767:Embryonal rhabdomyosarcoma 1343:Connective tissue neoplasm 1100:10.1001/archotol.132.7.767 717:10.1016/j.jcms.2019.06.009 670:10.1007/s00405-020-06250-x 620:"Salivary Gland Neoplasms" 550:10.1001/archotol.129.9.929 461:10.1177/000348949210100215 425:10.1001/archotol.130.6.773 319:, cosmetic problems, etc. 251:when compared to CT only. 223:magnetic resonance imaging 2138: 1891:Malignant rhabdoid tumour 1858:Complex mixed and stromal 1787: 1779:Alveolar rhabdomyosarcoma 995:British Journal of Cancer 295:The benign tumors of the 54: 45: 2173:Salivary gland neoplasia 2069:benign epithelial tumors 2038:Adenoid cystic carcinoma 2033:Mucoepidermoid carcinoma 1430:Fibroma of tendon sheath 2043:Salivary duct carcinoma 1460:Oral submucous fibrosis 1400:Aggressive fibromatosis 1316:Not otherwise specified 870:10.1002/bjs.18004519314 1502:Solitary fibrous tumor 1497:Atypical fibroxanthoma 1007:10.1038/sj.bjc.6601281 751:Acta Oto-Laryngologica 272: 264: 211:fine needle aspiration 206: 165: 157: 2028:Acinic cell carcinoma 1876:Mixed Müllerian tumor 628:Updated: Jan 13, 2021 388:"Pleomorphic adenoma" 364:"Pleomorphic adenoma" 334:- monomorphic adenoma 270: 262: 204: 163: 152: 112:Clinical presentation 1992:head and neck cancer 1881:Mesoblastic nephroma 1450:Plantar fibromatosis 1378:Desmoplastic fibroma 833:. 18. Archived from 94:salivary gland tumor 18:Adenoma, pleomorphic 2078:Pleomorphic adenoma 1871:Pleomorphic adenoma 1679:Spindle cell lipoma 1479:histiocytic sarcoma 1455:Pleomorphic fibroma 1415:Collagenous fibroma 1410:Aponeurotic fibroma 1323:Soft-tissue sarcoma 455:(2 Pt 1): 185–188. 297:submandibular gland 249:perineural invasion 219:computer tomography 173:and spindle-shaped 86:Pleomorphic adenoma 33:Pleomorphic adenoma 1834:Neural fibrolipoma 1809:Angiolipoleiomyoma 1772:Sarcoma botryoides 1669:Pleomorphic lipoma 1638:Myxoid liposarcoma 1602:Clear-cell sarcoma 1435:Fibromatosis colli 1241:External resources 917:10.1002/lary.24837 392:Pathology Outlines 368:Pathology Outlines 273: 265: 207: 166: 158: 90:benign mixed tumor 41:Benign mixed tumor 2155: 2154: 2151: 2150: 2111: 2110: 1942: 1941: 1934:Adenomatoid tumor 1906:Pancreatoblastoma 1852: 1851: 1814:Genital leiomyoma 1674:Lipoblastomatosis 1610: 1609: 1510: 1509: 1465:Pachydermodactyly 1264: 1263: 960:10.1002/hed.24564 757:(11): 1300–1305. 305:hypoglossal nerve 83: 82: 27:Medical condition 16:(Redirected from 2185: 2168:Benign neoplasms 2096: 2071: 2021: 2014: 2005: 1969: 1962: 1955: 1946: 1763:rhabdomyosarcoma 1752: 1728: 1704: 1699: 1659:Chondroid lipoma 1597:Synovial sarcoma 1533:Cutaneous myxoma 1357: 1348: 1291: 1284: 1277: 1268: 1160: 1148: 1147: 1119: 1113: 1112: 1102: 1078: 1072: 1071: 1035: 1029: 1028: 1018: 1001:(9): 1610–1613. 986: 980: 979: 943: 937: 936: 905:The Laryngoscope 896: 890: 889: 864:(193): 477–487. 853: 847: 845: 843: 842: 789: 783: 782: 746: 737: 736: 711:(9): 1356–1362. 699: 690: 689: 655: 646: 631: 627: 615: 606: 605: 569: 563: 562: 552: 528: 522: 521: 511: 502:(9): 1608–1612. 487: 481: 480: 444: 438: 437: 427: 403: 397: 395: 382: 373: 371: 359: 123:mandibular ramus 79: 78: 50: 30: 21: 2193: 2192: 2188: 2187: 2186: 2184: 2183: 2182: 2158: 2157: 2156: 2147: 2134: 2107: 2092: 2087: 2083:Warthin's tumor 2067: 2062: 2017: 1994: 1973: 1943: 1938: 1915: 1848: 1783: 1750:Skeletal muscle 1748: 1743: 1724: 1719: 1702: 1688: 1606: 1582: 1578:Phyllodes tumor 1560:Fibroepithelial 1554: 1506: 1469: 1382: 1337: 1311: 1295: 1265: 1260: 1259: 1236: 1235: 1171: 1157: 1152: 1151: 1121: 1120: 1116: 1080: 1079: 1075: 1037: 1036: 1032: 988: 987: 983: 948:Head & Neck 945: 944: 940: 898: 897: 893: 855: 854: 850: 840: 838: 821:(in Romanian). 809:Cristian Vlădan 793:Alexandru Bucur 791: 790: 786: 748: 747: 740: 701: 700: 693: 653: 648: 647: 634: 629: 617: 616: 609: 571: 570: 566: 530: 529: 525: 489: 488: 484: 446: 445: 441: 405: 404: 400: 385: 383: 376: 361: 360: 356: 351: 332:Warthin's tumor 328: 317:Frey's syndrome 257: 199: 147: 114: 73: 28: 23: 22: 15: 12: 11: 5: 2191: 2189: 2181: 2180: 2175: 2170: 2160: 2159: 2153: 2152: 2149: 2148: 2146: 2145: 2139: 2136: 2135: 2133: 2132: 2127: 2121: 2119: 2113: 2112: 2109: 2108: 2106: 2105: 2099: 2097: 2089: 2088: 2086: 2085: 2080: 2074: 2072: 2064: 2063: 2061: 2060: 2055: 2050: 2045: 2040: 2035: 2030: 2024: 2022: 2011: 2009:Salivary gland 2002: 1996: 1995: 1974: 1972: 1971: 1964: 1957: 1949: 1940: 1939: 1937: 1936: 1931: 1925: 1923: 1917: 1916: 1914: 1913: 1911:Carcinosarcoma 1908: 1903: 1901:Hepatoblastoma 1898: 1893: 1888: 1883: 1878: 1873: 1868: 1862: 1860: 1854: 1853: 1850: 1849: 1847: 1846: 1841: 1836: 1831: 1826: 1821: 1819:Leiomyosarcoma 1816: 1811: 1806: 1804:Angioleiomyoma 1801: 1800: 1799: 1788: 1785: 1784: 1782: 1781: 1776: 1775: 1774: 1755: 1753: 1745: 1744: 1742: 1741: 1739:leiomyosarcoma 1731: 1729: 1721: 1720: 1718: 1717: 1707: 1705: 1696: 1690: 1689: 1687: 1686: 1681: 1676: 1671: 1666: 1661: 1655: 1654: 1653: 1652: 1650:Angiomyolipoma 1642: 1641: 1640: 1635: 1620: 1618: 1612: 1611: 1608: 1607: 1605: 1604: 1599: 1593: 1591: 1584: 1583: 1581: 1580: 1575: 1570: 1568:Brenner tumour 1564: 1562: 1556: 1555: 1553: 1552: 1547: 1542: 1541: 1540: 1535: 1520: 1518: 1512: 1511: 1508: 1507: 1505: 1504: 1499: 1494: 1489: 1483: 1481: 1471: 1470: 1468: 1467: 1462: 1457: 1452: 1447: 1442: 1437: 1432: 1427: 1422: 1417: 1412: 1407: 1402: 1396: 1394: 1384: 1383: 1381: 1380: 1375: 1369: 1367: 1354: 1345: 1339: 1338: 1336: 1335: 1330: 1325: 1319: 1317: 1313: 1312: 1296: 1294: 1293: 1286: 1279: 1271: 1262: 1261: 1258: 1257: 1245: 1244: 1242: 1238: 1237: 1234: 1233: 1222: 1211: 1203: 1188: 1172: 1167: 1166: 1164: 1163:Classification 1156: 1155:External links 1153: 1150: 1149: 1130:(1): 103–111. 1114: 1093:(7): 767–770. 1073: 1046:(3): 319–322. 1030: 981: 954:(2): 387–391. 938: 911:(1): 122–127. 891: 848: 811:(March 2011). 797:Octavian Dincă 784: 738: 691: 632: 607: 580:(6): 726–732. 564: 543:(9): 929–933. 523: 482: 439: 418:(6): 773–778. 398: 374: 353: 352: 350: 347: 346: 345: 340: 335: 327: 324: 256: 253: 198: 195: 154:Sialadenectomy 146: 143: 129:, pleomorphic 113: 110: 106:salivary gland 81: 80: 67: 61: 60: 52: 51: 43: 42: 39: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2190: 2179: 2176: 2174: 2171: 2169: 2166: 2165: 2163: 2144: 2141: 2140: 2137: 2131: 2128: 2126: 2123: 2122: 2120: 2118: 2114: 2104: 2101: 2100: 2098: 2095: 2090: 2084: 2081: 2079: 2076: 2075: 2073: 2070: 2065: 2059: 2056: 2054: 2051: 2049: 2046: 2044: 2041: 2039: 2036: 2034: 2031: 2029: 2026: 2025: 2023: 2020: 2015: 2012: 2010: 2006: 2003: 2001: 1997: 1993: 1989: 1985: 1981: 1977: 1970: 1965: 1963: 1958: 1956: 1951: 1950: 1947: 1935: 1932: 1930: 1927: 1926: 1924: 1922: 1918: 1912: 1909: 1907: 1904: 1902: 1899: 1897: 1894: 1892: 1889: 1887: 1884: 1882: 1879: 1877: 1874: 1872: 1869: 1867: 1864: 1863: 1861: 1859: 1855: 1845: 1842: 1840: 1837: 1835: 1832: 1830: 1827: 1825: 1822: 1820: 1817: 1815: 1812: 1810: 1807: 1805: 1802: 1798: 1795: 1794: 1793: 1790: 1789: 1786: 1780: 1777: 1773: 1770: 1769: 1768: 1764: 1760: 1757: 1756: 1754: 1751: 1746: 1740: 1736: 1733: 1732: 1730: 1727: 1726:Smooth muscle 1722: 1716: 1712: 1709: 1708: 1706: 1700: 1697: 1695: 1691: 1685: 1682: 1680: 1677: 1675: 1672: 1670: 1667: 1665: 1662: 1660: 1657: 1656: 1651: 1648: 1647: 1646: 1643: 1639: 1636: 1634: 1631: 1630: 1629: 1625: 1622: 1621: 1619: 1617: 1613: 1603: 1600: 1598: 1595: 1594: 1592: 1589: 1585: 1579: 1576: 1574: 1571: 1569: 1566: 1565: 1563: 1561: 1557: 1551: 1548: 1546: 1543: 1539: 1536: 1534: 1531: 1530: 1529: 1525: 1522: 1521: 1519: 1517: 1513: 1503: 1500: 1498: 1495: 1493: 1490: 1488: 1485: 1484: 1482: 1480: 1476: 1472: 1466: 1463: 1461: 1458: 1456: 1453: 1451: 1448: 1446: 1443: 1441: 1438: 1436: 1433: 1431: 1428: 1426: 1423: 1421: 1418: 1416: 1413: 1411: 1408: 1406: 1403: 1401: 1398: 1397: 1395: 1393: 1389: 1385: 1379: 1376: 1374: 1371: 1370: 1368: 1366: 1362: 1358: 1355: 1353: 1349: 1346: 1344: 1340: 1334: 1331: 1329: 1326: 1324: 1321: 1320: 1318: 1314: 1310: 1306: 1303: 1299: 1292: 1287: 1285: 1280: 1278: 1273: 1272: 1269: 1256: 1252: 1251: 1247: 1246: 1243: 1239: 1232: 1228: 1227: 1223: 1221: 1217: 1216: 1212: 1209: 1208: 1204: 1202: 1198: 1197: 1193: 1189: 1187: 1183: 1182: 1178: 1174: 1173: 1170: 1165: 1161: 1154: 1145: 1141: 1137: 1133: 1129: 1125: 1118: 1115: 1110: 1106: 1101: 1096: 1092: 1088: 1084: 1077: 1074: 1069: 1065: 1061: 1057: 1053: 1049: 1045: 1041: 1034: 1031: 1026: 1022: 1017: 1012: 1008: 1004: 1000: 996: 992: 985: 982: 977: 973: 969: 965: 961: 957: 953: 949: 942: 939: 934: 930: 926: 922: 918: 914: 910: 906: 902: 895: 892: 887: 883: 879: 875: 871: 867: 863: 859: 852: 849: 837:on 2013-01-13 836: 832: 828: 824: 820: 819: 814: 810: 806: 802: 798: 794: 788: 785: 780: 776: 772: 768: 764: 760: 756: 752: 745: 743: 739: 734: 730: 726: 722: 718: 714: 710: 706: 698: 696: 692: 687: 683: 679: 675: 671: 667: 663: 659: 652: 645: 643: 641: 639: 637: 633: 625: 621: 618:Steve C Lee. 614: 612: 608: 603: 599: 595: 591: 587: 583: 579: 575: 568: 565: 560: 556: 551: 546: 542: 538: 534: 527: 524: 519: 515: 510: 505: 501: 497: 493: 486: 483: 478: 474: 470: 466: 462: 458: 454: 450: 443: 440: 435: 431: 426: 421: 417: 413: 409: 402: 399: 393: 389: 381: 379: 375: 369: 365: 358: 355: 348: 344: 341: 339: 336: 333: 330: 329: 325: 323: 320: 318: 312: 310: 309:lingual nerve 306: 302: 298: 293: 289: 285: 281: 279: 269: 261: 254: 252: 250: 244: 240: 238: 233: 231: 226: 224: 220: 216: 212: 203: 196: 194: 192: 188: 183: 180: 176: 175:myoepithelial 172: 162: 155: 151: 144: 142: 140: 136: 132: 128: 124: 120: 111: 109: 107: 103: 99: 98:parotid gland 95: 91: 87: 77: 71: 68: 66: 62: 58: 53: 49: 44: 40: 36: 31: 19: 2093: 2077: 2068: 2018: 1929:Mesothelioma 1886:Wilms' tumor 1870: 1573:Fibroadenoma 1475:Histiocytoma 1392:fibromatosis 1365:fibrosarcoma 1333:Skin sarcoma 1248: 1224: 1213: 1205: 1190: 1175: 1127: 1123: 1117: 1090: 1086: 1076: 1043: 1039: 1033: 998: 994: 984: 951: 947: 941: 908: 904: 894: 861: 857: 851: 839:. Retrieved 835:the original 822: 816: 805:Cosmin Totan 801:Tiberiu Niță 787: 754: 750: 708: 704: 664:(1): 15–29. 661: 657: 623: 577: 573: 567: 540: 536: 526: 499: 495: 485: 452: 448: 442: 415: 411: 401: 391: 367: 357: 343:Sialadenitis 321: 313: 301:facial nerve 294: 290: 286: 282: 274: 245: 241: 234: 227: 208: 191:beta catenin 184: 167: 127:benign tumor 115: 102:Pleomorphism 89: 85: 84: 2130:Rhabdomyoma 2125:Leukoplakia 2000:Oral cancer 1984:oral cavity 1921:Mesothelial 1759:Rhabdomyoma 1633:Myelolipoma 1628:liposarcoma 1545:Angiomyxoma 1528:myxosarcoma 1352:Fibromatous 1302:soft tissue 230:sensitivity 38:Other names 2162:Categories 2143:Oropharynx 2103:Oncocytoma 1866:Adenomyoma 1715:myosarcoma 1616:Lipomatous 1516:Myxomatous 1298:Connective 841:2012-06-06 825:(1): 7–9. 349:References 307:, and the 215:ultrasound 171:epithelial 2094:ungrouped 1797:Cutaneous 1792:Leiomyoma 1735:Leiomyoma 1694:Myomatous 1684:Hibernoma 1255:radio/531 1250:eMedicine 831:2069-3850 733:198169972 686:220965351 338:Carcinoma 255:Treatment 221:(CT) and 197:Diagnosis 145:Histology 139:aneuploid 65:Specialty 57:Pap stain 1588:Synovial 1309:sarcomas 1210:: 8940/0 1144:15629600 1109:16847187 1068:38480631 1060:16143173 1025:14583757 968:27550745 925:25043324 886:24930522 878:13536351 779:20865807 771:20528201 725:31331850 678:32749609 624:Medscape 602:24528326 594:14663442 559:12975263 518:15502149 477:10583105 434:15210562 386:Bin Xu. 362:Bin Xu. 326:See also 278:adjuvant 237:accuracy 131:adenomas 70:Oncology 1988:pharynx 1703:General 1388:Fibroma 1361:Fibroma 1231:D008949 1016:2394403 976:3758029 933:1929744 509:7976420 469:1739267 225:(MRI). 121:of the 119:atrophy 2117:Tongue 1976:Tumors 1645:PEComa 1624:Lipoma 1524:Myxoma 1305:tumors 1220:181030 1142:  1107:  1066:  1058:  1023:  1013:  974:  966:  931:  923:  884:  876:  829:  777:  769:  731:  723:  684:  676:  600:  592:  557:  516:  506:  475:  467:  432:  303:, the 179:stroma 72:  1844:STUMP 1711:Myoma 1590:-like 1207:ICD-O 1201:210.2 1064:S2CID 972:S2CID 929:S2CID 882:S2CID 775:S2CID 729:S2CID 682:S2CID 654:(PDF) 598:S2CID 473:S2CID 1986:and 1307:and 1226:MeSH 1215:OMIM 1196:9-CM 1140:PMID 1105:PMID 1056:PMID 1021:PMID 964:PMID 921:PMID 874:PMID 827:ISSN 767:PMID 721:PMID 674:PMID 590:PMID 555:PMID 514:PMID 465:PMID 430:PMID 187:PLAG 88:(or 1980:lip 1978:of 1192:ICD 1186:D11 1177:ICD 1132:doi 1095:doi 1091:132 1048:doi 1044:133 1011:PMC 1003:doi 956:doi 913:doi 909:125 866:doi 759:doi 755:130 713:doi 666:doi 662:278 582:doi 578:129 545:doi 541:129 504:PMC 457:doi 453:101 420:doi 416:130 2164:: 1990:/ 1982:, 1765:: 1253:: 1229:: 1218:: 1199:: 1184:: 1181:10 1138:. 1128:61 1126:. 1103:. 1089:. 1085:. 1062:. 1054:. 1042:. 1019:. 1009:. 999:89 997:. 993:. 970:. 962:. 952:39 950:. 927:. 919:. 907:. 903:. 880:. 872:. 862:45 860:. 815:. 807:; 803:; 799:; 795:; 773:. 765:. 753:. 741:^ 727:. 719:. 709:47 707:. 694:^ 680:. 672:. 660:. 656:. 635:^ 622:. 610:^ 596:. 588:. 576:. 553:. 539:. 535:. 512:. 500:25 498:. 494:. 471:. 463:. 451:. 428:. 414:. 410:. 390:. 377:^ 366:. 217:, 1968:e 1961:t 1954:v 1761:/ 1737:/ 1713:/ 1626:/ 1526:/ 1477:/ 1390:/ 1363:/ 1300:/ 1290:e 1283:t 1276:v 1194:- 1179:- 1169:D 1146:. 1134:: 1111:. 1097:: 1070:. 1050:: 1027:. 1005:: 978:. 958:: 935:. 915:: 888:. 868:: 844:. 823:2 781:. 761:: 735:. 715:: 688:. 668:: 626:. 604:. 584:: 561:. 547:: 520:. 479:. 459:: 436:. 422:: 394:. 370:. 20:)

Index

Adenoma, pleomorphic

Pap stain
Specialty
Oncology
Edit this on Wikidata
salivary gland tumor
parotid gland
Pleomorphism
salivary gland
atrophy
mandibular ramus
benign tumor
adenomas
carcinoma ex-pleomorphic adenoma
aneuploid

Sialadenectomy

epithelial
myoepithelial
stroma
PLAG
beta catenin

fine needle aspiration
ultrasound
computer tomography
magnetic resonance imaging
sensitivity

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.