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Head and Neck Pathology

, Volume 8, Issue 3, pp 303–306 | Cite as

Recurrent Pleomorphic Adenoma

  • Rachel L. Werner
  • James T. CastleEmail author
Sine qua non Radiology-Pathology

History

A 29-year-old male presented for evaluation of an enlarging 4.5 cm firm but mobile mass of the left cheek. He additionally desired revision for a scar that resulted from a prior surgical procedure wherein the patient described undergoing surgery 12 years earlier for a “cyst” in the same region of the face. The patient stated that the surgery was terminated mid-procedure due to concern for the surrounding salivary gland.

Radiologic Features

Magnetic resonance imaging (MR) of the upper neck revealed a well-defined, lobulated mass that likely represented a venolymphatic lesion predominantly involving the subcutaneous fat with involvement of the superficial lobe of the left parotid gland. The lesion measured approximately 4.3 × 2.4 cm (axial dimensions) × 3.7 cm craniocaudad and was shown to be hypointense on the T1-weighted image (Fig.  1 left) and markedly hyperintense following contrast administration (Fig.  1right). Curvilinear hypointensities within the lesion, which likely...

Keywords

Myoepithelial Cell Pleomorphic Adenoma Salivary Gland Tumor Salivary Gland Tissue Superficial Parotidectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York (outside the USA) 2013

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial PathologyNaval Postgraduate Dental SchoolBethesdaUSA
  2. 2.Department of Anatomic PathologyNaval Medical Center PortsmouthPortsmouthUSA

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