Abstract
Collision tumors, composed of two distinct benign or malignant neoplasms, are rarely reported in the oral cavity. We present a case of a 61-year-old female with an asymptomatic non-demarcated lump on the soft palate of unknown duration. An incisional biopsy revealed the presence of two neoplastic populations, a neurofibroma that was partially infiltrated by a polymorphous adenocarcinoma, low-grade variant. Total surgical excision was performed, with uneventful follow-up period. The development of collision tumors may be incidental, although molecular events may influence the pathogenetic mechanism of the phenomenon.
Similar content being viewed by others
Data Availability
The data including clinical information, radiograph, and histopathologic preparations are available upon request.
References
Coca-Pelaz A, Triantafyllou A, Devaney KO, Rinaldo A, Takes RP, Ferlito A. Collision tumors of the larynx: a critical review. Am J Otolaryngol. 2016;37:365–8.
Seifert G, Donath K. Hybrid tumours of salivary glands. Definition and classification of five rare cases. Eur J Cancer B Oral Oncol. 1996;32B:251–9.
Sung CT, Shetty A, Menias CO, et al. Collision and composite tumors; radiologic and pathologic correlation. Abdom Radiol. 2017;42:2909–26.
Peng Y, Lin J, Guan J, et al. Ovarian collision tumors: imaging findings, pathological characteristics, diagnosis, and differential diagnosis. Abdom Radiol (NY). 2018;43:2156–68.
Schizas D, Katsaros I, Michalinos A, et al. Collision tumors of the gastrointestinal tract: a systematic review of the literature. Anticancer Res. 2018;38:6047–57.
Brandwein-Gensler M, Urken M, Wang B. Collision tumor of the thyroid: a case report of metastatic liposarcoma plus papillary thyroid carcinoma. Head Neck. 2004;26:637–41.
Ryan N, Walkden G, Lazic D, Tierney P. Collision tumors of the thyroid: a case report and review of the literature. Head Neck. 2015;37:E125-9.
Sahoo NK, Sharma R, Roy ID, Kulkarni V. Collision tumor of maxilla: a diagnostic dilemma. J Maxillofac Oral Surg. 2015;14(Suppl 1):370–3.
Takeda Y, Yamamoto H. Oral collision carcinoma: salivary duct carcinoma of minor salivary gland origin and squamous cell carcinoma of the oral mucosa. J Oral Sci. 1999;41:129–31.
Tippu SR, Rahman F, Sharma N, Srivastava S. Collision tumor of the palate: a rare case report. Contemp Clin Dent. 2014;5:102–5.
Landa LE, Kathju S, Nepomuceno-Perez MC, Gordon C, Sotereanos GC. Tuberculous granuloma and adenoid cystic carcinoma presenting as a single buccal space mass. J Craniofac Surg. 2002;13:533–7.
Maruyama M, Fushiki H, Watanabe Y. Solitary neurofibroma of the floor of the mouth: a case report. Case Rep Otolaryngol. 2011;2011:967896.
Chatura KR. Polymorphous low-grade adenocarcinoma. J Oral Maxillofac Pathol. 2015;19:77–82.
Liu X, Yang X, Zhan C, Zhang Y, Hou J, Yin X. Perineural invasion in adenoid cystic carcinoma of the salivary glands: where we are and where we need to go. Front Oncol. 2020;10:1493.
Alkhadar H, Macluskey M, White S, Ellis I. Nerve growth factor-induced migration in oral and salivary gland tumour cells utilises the PI3K/Akt signalling pathway: is there a link to perineural invasion? J Oral Pathol. 2020;49:227–34.
Hoshi N, Yamaki T, Hiraki H, et al. Functional nerve growth factor receptor in von Recklinghausen neurofibromatosis: an immunocytochemical and short-term culture study. Pathol Int. 1996;46:1–8.
Brown IS. Pathology of perineural spread. J Neurol Surg B Skull Base. 2016;77:124–30.
Panizza B, Warren TA, Solares CA, Boyle GM, Lambie D, Brown I. Histopathological features of clinical perineural invasion of cutaneous squamous cell carcinoma of the head and neck and the potential implications for treatment. Head Neck. 2014;36:1611–8.
Yeh I, McCalmont TH. Distinguishing neurofibroma from desmoplastic melanoma: the value of the CD34 fingerprint. J Cutan Pathol. 2011;38:625–30.
Soma L, LiVolsi VA, Baloch ZW. Dendritic interstitial and myofibroblastic cells at the border of salivary gland tumors. Arch Pathol Lab Med. 2001;125:232–6.
Kirchmann TT, Prieto VG, Smoller BR. Use of CD34 in assessing the relationship between stroma and tumor in desmoplastic keratinocytic neoplasms. J Cutan Pathol. 1995;22:422–6.
Triantafyllou A, Hunt JL, Devaney KO, Ferlito A. A perspective of comparative salivary and breast pathology. Part I: microstructural aspects, adaptations and cellular events. Eur Arch Otorhinolaryngol. 2014;271:647–63.
Funding
The study was funded by the University of Minnesota Oral Pathology Research Fund (internal funding).
Author information
Authors and Affiliations
Contributions
NGK was the primary author of the paper. KIT and IGK designed the study, analyzed the data, authored parts of the paper. IGK is also the corresponding author. HAL and RU performed the incisional biopsy and, subsequently, performed the surgery. The paper was critically reviewed and approved by all authors.
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflicts of interest.
Ethical Approval
The study was performed in accordance with the 1964 Helsinki Declaration standards.
Consent to Participate
The study was exempt from the University of Minnesota Institutional Review Board.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Katsoulas, N.G., Tosios, K.I., Lynch, H.A. et al. Polymorphous Adenocarcinoma, Low Grade Variant, Colliding with a Neurofibroma. Head and Neck Pathol 16, 602–606 (2022). https://doi.org/10.1007/s12105-021-01377-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12105-021-01377-7