Case 715 -- A 61 year old female with a right-sided submandibular gland mass

Contributed by Richard Freij, MD

A maximum of 0.5 AMA PRA Category 1 Credits are available from a quiz on this case from the University of Pittsburgh's Internet-based Studies in Education and Research. Please review the case before taking the quiz.


CLINICAL HISTORY

The patient is a 61 year old female who presents with a right-sided 1.9 cm submandibular gland mass.

PATHOLOGICAL FINDINGS

Histological examination showed mucous, intermediate and epidermoid cells with invasive growth pattern, extensive tumor-associated lymphoid association and stromal desmoplasia (Figures 1 and 2). Additionally, solid nests with scant cystic structures consisting of primarily epidermoid cells and with few intermediate cells. Marked cellular pleomorphism, mitoses and focal necrosis is also seen (Figures 3, 4, 5 and 6).

FINAL DIAGNOSIS


Case IndexCME Case StudiesFeedbackHome