Contributed by Anna Mnuskin MD, Sheldon Bastacky MD and Rajiv Dhir MD
Published on line in December 1998
The patient is an 82-year-old black female who had a right parotid gland tumor removed a year ago. Her previous medical history includes peripheral vascular disease and diabetes mellitus. The patient presented with recurrent right post auricular mass.
An ultrasound guided fine-needle aspiration (FNA) of the mass was performed. Smears stained with Papanicolaou stain were made from the aspirated material ( Images 01, 02 and 03). Microscopic examination revealed cellular aspirate consisting of numerous cells, varying in shape from polygonal to spindle shaped. Some of these cells were present in clusters, the other were in dissociated arrangement. Some of the polygonal cells had clear cytoplasm. Many of the cells were somewhat bland, but other cells were pleomorphic and had double nuclei. There was a chondromyxoid background present.