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Malignant Transformation of Parotid Gland Non-sebaceous Lymphadenoma: Case Report and Review of Literature

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Abstract

Non-sebaceous lymphadenoma is a sporadic benign tumor of salivary glands. Histopathologic and immunohistochemical properties, diagnostic criteria, and theories for the histologic origin of the disease have been defined and well-discussed in the literature. However, none of the cases showed malignant transformation to date. We reported a case of 54 years old female patient with a right preauricular mass. Magnetic resonance imaging demonstrated a 2 cm, well-defined contrast-enhanced mass in the right parotid gland. Fine needle aspiration cytology was undiagnostic but suspicious for malignancy. Total parotidectomy with facial nerve preservation was done. In the histopathological examination, non-sebaceous lymphadenoma regions and malignant cells with abundant cytoplasm, large vesicular nuclei, and prominent nucleoli, which occupied approximately 70% of the mass, were seen. The diagnosis was undifferentiated carcinoma arisen from non-sebaceous lymphadenoma. Adjuvant radiotherapy was given. No recurrence was detected during ten months of follow-up. This case is the first case of a malignancy developed from non-sebaceous lymphadenoma.

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References

  1. Auclair PL, Ellis GLGD. Other benign epithelial neoplasms. In: Auclair PL, Ellis GL, editors. Surgical pathology of the salivary glands. Philadelphia: Saunders; 1991.

    Google Scholar 

  2. Ishii A, Kawano H, Tanaka S, Yamamoto Y, Nakamoto T, Hirose Y et al. Non-sebaceous lymphadenoma of the salivary gland with serous acinic cell differentiation, a first case report in the literature. Pathol Int. 2013;66(5):272–76.

    Article  Google Scholar 

  3. Ma J, Chan JKC, Chow CW, Orell SR. Lymphadenoma: a report of three cases of an uncommon salivary gland neoplasm. Histopathology 2002;41:342–50.

    Article  CAS  Google Scholar 

  4. Auclair PL. Tumor-associated lymphoid proliferation in the parotid gland: a potential diagnostic pitfall. Oral Surg Oral Med Oral Pathol. 1994;77(1):19–26.

    Article  CAS  Google Scholar 

  5. Barnes L, Eveson JW, Reichart PSD. Pathology and genetics of head and neck. In: Barnes L, Eveson JWR, Sidransky D, editors. World Health Organization classification of tumours. Lyon: IARC Press, 2005.

    Google Scholar 

  6. Hatta C, Terada T, Okita J, Kakibuchi M, Kubota A, Sakagami M. Clinicopathological study of undifferentiated carcinoma of the parotid gland. Auris Nasus Larynx 2003;30(3):273–277.

    Article  Google Scholar 

  7. Pau M, Brcic L, Seethala RR, Klein-Theyer AK, Magyar M, Reinbacher KE et al. Non-sebaceous lymphadenoma of the lacrimal gland: first report of a new localization. Virchows Arch. 2018;473(1):127–130.

    Article  Google Scholar 

  8. Liu G, He J, Zhang C, Fu S, He Y. Lymphadenoma of the salivary gland: report of 10 cases. Oncol Lett. 2014;7(4):1097–1101.

    Article  Google Scholar 

  9. Castelino-Prabhu S, Li QK, Ali SZ. Nonsebaceous lymphadenoma of the parotid gland: Cytopathologic findings and differential diagnosis. Diagn Cytopathol. 2010;38(2):137–140.

    PubMed  Google Scholar 

  10. Weiler C, Agaimy A, Zengel P, Zenk J, Kirchner T, Ihrler S. Nonsebaceous lymphadenoma of salivary glands: Proposed development from intraparotid lymph nodes and risk of misdiagnosis. Virchows Arch. 2012;460(5):467–472.

    Article  Google Scholar 

  11. Musthyala NB, Low SE, Seneviratne RH. Lymphadenoma of the salivary gland: a rare tumour. J Clin Pathol. 2004;57(9):1007.

    Article  CAS  Google Scholar 

  12. Chang KTE, Chadha NK, Leung R, Shago M, Phillips MJ, Thorner PS. Lymphadenoma: case report of a rare salivary gland tumor in childhood. Pediatr Dev Pathol. 2010;13(4):331–337.

    Article  Google Scholar 

  13. Dardick I, Thomas MJ. Lymphadenoma of parotid gland: two additional cases and a literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2008;7(4):1097–1101.

    Google Scholar 

  14. Gallego L, Junquera L, Fresno MF. Non-sebaceous lymphadenoma of the parotid gland: immunohistochemical study and DNA ploidy analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2009;107(4):555–558.

    Article  Google Scholar 

  15. Yamanaka H, Hasegawa H, Tanaka M, Matsuzaki H, Oshima T, Sugitani M. Parotid gland non-sebaceous lymphadenoma: a case report. Turkish Arch Otorhinolaryngol. 2019;57(1):42–45.

    Article  Google Scholar 

  16. Kwon GY, Kim EJ, Go JH. Lymphadenoma arising in the parotid gland: a case report. Yonsei Med J. 2002;43(4):536–538.

    Article  Google Scholar 

  17. Yang S, Chen X, Wang L, Zhang J. Non-sebaceous lymphadenoma of the salivary gland: case report with immunohistochemical investigation. Virchows Arch. 2007;450(5):595–599.

    Article  Google Scholar 

  18. Seethala RR, Thompson LDR, Gnepp DR, Barnes EL, Skalova A, Montone K et al. Lymphadenoma of the salivary gland: clinicopathological and immunohistochemical analysis of 33 tumors. Mod Pathol. 2012;25(1):26–35.

    Article  Google Scholar 

  19. Bos I, Meyer S, Merz H. Lymphadenom der Glandula parotis ohne Talgdrüsendifferenzierung. Pathologe 2004;25:73–8. https://doi.org/10.1007/s00292-003-0644-7.

    Article  CAS  PubMed  Google Scholar 

  20. Mori D, Akashi M, Shibaki M, Koike E, Miyazaki J. Nonsebaceous lymphadenoma in the parotid gland: true neoplastic or reactive? A report of two cases. Int J Surg Pathol. 2013;21:509–513.

    Article  Google Scholar 

  21. Mayorga M, Fernández N, Fernando Val-Bernal J. Synchronous ipsilateral sebaceous lymphadenoma and acinic cell adenocarcinoma of the parotid gland. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88:593–596.

    Article  CAS  Google Scholar 

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Correspondence to Hakan Kara MD.

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Kara, H., Sönmez, S., Bağbudar, S. et al. Malignant Transformation of Parotid Gland Non-sebaceous Lymphadenoma: Case Report and Review of Literature. Head and Neck Pathol 14, 1123–1128 (2020). https://doi.org/10.1007/s12105-020-01133-3

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  • DOI: https://doi.org/10.1007/s12105-020-01133-3

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