SALIVARY GLAND

TUMORS
THEME: SALIVARY GLAND TUMORS

INSTRUCTION:
A) LABEL THE GIVEN DIAGRAM
B) DESCRIBE THE HISTOPATHOLOGICAL PICTURE
C) LIST THE CLINICAL FEATURES

B)
well encapsulated and well circumscribed tumor mass

Ductal or epithelial component in the

form of islands

Stromal component

pleomorphic adenoma with chondroid material:

Fibrous connective tissue stroma
Epithelial and myoepithelial component
Vacuolar degeneration
Areas of eosinophilic hyalinized change
Epithelial and ductal component

C)

• In the parotid gland

90% superficial lobe presenting as a swelling overlying the mandibular
ramus in front of the ear.

• Palatal pleomorphic adenomas: posterior lateral aspect of the palate {i.e. lateral to
midline}
Ø Painless { asymptomatic}
Ø Firm masses
Slowly growing {may become large if untreated
1. Epithelial/ ductal and myoepithelial
component

2. Fibrous connective tissue stroma

3. blood vessels

4. stromal component

5. encapsulation
THEME: SALIVARY GLAND TUMORS

INSTRUCTION:
A) LABEL THE GIVEN DIAGRAM
B) DESCRIBE THE HISTOPATHOLOGICAL PICTURE
C) LIST THE CLINICAL FEATURES

B)
Ductal epithelium: oncocytic in nature
Uniform rows of cells surrounding cystic spaces
Arranged in two layers
Granular eosinophilic cytoplasm

Papillary folding's that protrude in cystic spaces

Lymphocytic infiltration

Cystic spaces

C)

• slowly growing, painless, nodular mass of the parotid gland.

Firm or fluctuant to palpation.

• Site: Bilateral
Tail of the parotid near the angle of the mandible
Cystic spaces Papillary
folding's
that
protrude in
cystic
spaces

Lymphocytic
infiltration

Ductal epithelium: oncocytic in

nature
Uniform rows of cells surrounding cystic
spaces
Arranged in two layers
Granular eosinophilic cytoplasm
THEME: SALIVARY GLAND TUMORS

INSTRUCTION:
A) LABEL THE GIVEN DIAGRAM
B) DESCRIBE THE HISTOPATHOLOGICAL PICTURE
C) LIST THE CLINICAL FEATURES

B)
Cheese like pattern

Islands of hyperchromatic
basaloid (ductal) epithelial cells

Cylindrical cyst like spaces

C)

. Slowly growing mass

2. Firm on palpation

Pain is an early and important finding

Islands of hyperchromatic
basaloid (ductal) epithelial cells

Adenoid cystic
carcinoma –
Cribriform pattern
Cylindrical cyst like spaces