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Pleomorphic Adenoma
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Pleomorphic Adenoma

This is a cross section of salivary gland.
The lobulated yellow-tan tissue is normal salivary gland.
The tumor on the right is well circumscribed due to predominantly pushing margins.
Cut surface of the tumor is typically gray-white or tan-white.
Note the lack of hemorrhage or necrosis.
(Description By:Martin Nadel, M.D. )
(Image Contrib. by: UCHC )
Pleomorphic Adenoma
Etiology

Unknown
Pathogenesis

Arise either from myoepithelial cell or reserve cell,
Epidemiology

Increased risk after radiation treatment
Most common benign neoplasm of salivary gland
Most common neoplasm of parotid
Present between 40-60 years of age
General Gross Description

Firm, gray, sometimes glassy neoplasm
Appears well circumscribed, although may have infiltrative borders microscopically
General Microscopic Description

Epithelial proliferation arranged in a variety of patterns including ductules, strands, or sheets
Variable stroma including a palely basophilic loose (myxoid) appearance
May be foci of cartilage or bone
Clinical Correlation

Slow growing mass
Unless completely excised will recur
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 749-750.
Pleomorphic Adenoma
Synopsis by: Melinda Sanders M.D. (T55100M89400)[325]
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