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CASE REPORT
Year : 2019  |  Volume : 8  |  Issue : 4  |  Page : 268-271

Pleomorphic adenoma of soft palate with extensive squamous metaplasia – A diagnostic enigma


1 Department of Pathology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
2 Department of E.N.T, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
3 Department of Radiology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
4 Department of Surgical Oncology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India

Correspondence Address:
Prof. Rashmi Patnayak
Department of Pathology, Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JDRNTRUHS.JDRNTRUHS_103_18

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Pleomorphic adenoma is the most common salivary gland tumor. It can have a wide range of morphological spectrum. But extensive squamous metaplasia mimicking squamous cell carcinoma is quite uncommon. Palate is a common site for minor salivary gland tumor. Less than hundred cases of pleomorphic adenoma with extensive squamous metaplasia have been reported in English literature, thus making it a rare entity. A 60-year old female presented with a well-defined swelling in the soft palate. The histology was reported as pleomorphic adenoma of soft palate with extensive squamous metaplasia and focal adipocytic metaplasia. The histopathological identification of this entity is important as it can mimic malignancy, particularly squamous cell carcinoma. Correct diagnosis helps in unnecessary aggressive therapy.


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