Prado and others published adenoma pleomorfo e carcinoma exadenoma pleomorfo. Among all salivary gland neoplasms, carcinoma ex pleomorphic adenoma ca ex pa accounts for approximately 3. Prognostic factors affecting the clinical outcome of. Carcinoma ex pleomorphic adenoma arises from pleomorphic adenoma in a multistep process with genetic alterations of, for example, plag1, hmga2, or mdm2. In 3 of the 4 cases, diffusionweighted and apparent diffusion coefficient adc mapping. Invasive salivary duct carcinoma ex pleomorphic adenoma of. Our goal was to investigate the prognosis of cxpa in the major. Ca ex pa has been named as carcinoma ex mixed tumour, carcinoma ex adenoma, and carcinoma ex benign pleomorphic adenoma. Pleomorphic adenoma is a common benign salivary gland neoplasm characterised by neoplastic proliferation of parenchymatous glandular cells along with myoepithelial components, having a. Carcinoma ex pleomorphic adenoma, an epithelial malignancy arising in or associated with a mixed tumor, can demonstrate a variety of histologic subtypes.
Carcinoma ex pleomorphic adenoma cxpa is an uncommon malignant tumor with highly aggressive biological behavior. These tumors occasionally undergo malignant transformation. Carcinoma ex pleomorphic adenoma cxpa, in the revised who classification published in 2005 is defined as. Carcinoma ex pleomorphic adenoma cxpa is an aggressive, poorly understood salivary gland malignancy. Carcinoma ex pleomorphic adenoma ca ex pa is a carcinoma arising from a primary or recurrent benign pleomorphic adenoma. Significant prognostic factors in cxpa include tumor stage, grade, proportion of carcinoma, extent of invasion, and proliferation index. Metastatic deposits of carcinoma ex pleomorphic adenoma are either composed.
Carcinoma ex adenoma pleomorfico linkedin slideshare. Rare spectrum of carcinomas demonstrating abrupt transition from benign tumor usually pleomorphic adenoma. Carcinoma expleomorphic adenoma of the parotid gland. The current definition of ca ex pa became widely accepted in the second half of the twentieth century. Carcinoma ex pleomorphic adenoma is a rare neoplasm of the submandibular gland with a poor prognosis. Misdiagnosis is common, because the residual mixed tumor component may be small.
Carcinoma ex pleomorphic adenoma is malignant mixed tumor of the parotid. Carcinoma ex pleomorphic adenoma typically presents in patients in the sixth decade of life, with a history of parotid tumor of long standing. Carcinoma ex pleomorphic adenoma was found on biopsy. Carcinoma ex pleomorphic adenoma, with particular emphasis. Carcinoma ex pleomorphic adenoma of salivary gland. Pleomorphic adenomas pas, also known as benign mixed tumors, are common tumors of the parotid gland. Carcinoma ex pleomorphic adenoma of the parotid gland. Adenoma pleomorfo, carcinoma ex adenoma pleomorfo, parotidectomia total.
Intracapsular carcinoma has a benign clinical course. The most common tumour of salivary gland is pleomorphic adenoma pa. Pathology outlines carcinoma ex pleomorphic adenoma. A huge pleomorphic adenoma of the submandibular salivary. Case report abstract carcinoma ex pleomorphic adenoma is a rare malignant tumor of the major salivary. It often poses a diagnostic challenge to clinicians and. Carcinoma ex pleomorphic adenoma of the submandibular.
We present 4 cases of carcinoma ex pleomorphic adenoma of the parotid gland. Accepted aug a yearold patient comes to the clinic of the faculty of dentistry, mesoamerican university for pediatric dental treatment. Carcinoma ex pleomorphic adenoma definition of carcinoma. Myoepithelial carcinoma ex pleomorphic adenoma of parotid. This page was last edited on 23 decemberat this article has been cited by other articles in pmc. Carcinoma ex pleomorphic adenoma ca ex pa is a type of cancer typically found in the parotid gland. Carcinoma ex pleomorphic adenoma radiology reference. Pdf adenoma pleomorfo e carcinoma exadenoma pleomorfo. It arises from the benign tumour pleomorphic adenoma its prognosis depends on the stage. Misdiagnosis is common, because the residual mixed tumor component may be small, and various. They are benign, painless, can grow into big tumours but usually do not affect nerves or lymph nodes. Misdiagnosis is common, because the residual mixed tumor component may be small, and various carcinoma subtypes are possible.
692 1402 189 464 687 946 887 1281 1392 708 733 1116 248 99 1479 572 234 807 678 132 1102 1131 99 5 1041 813 230 208 207 765 944 1017 1447 877 1245 753 1142 1014 1188