RT Journal Article
SR Electronic
T1 Papillary cystadenocarcinoma of the hard palate
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2013009215
DO 10.1136/bcr-2013-009215
VO 2014
A1 Sangeeta Panjab Wanjari
A1 Panjab Vitthalrao Wanjari
A1 Kalpana A Patidar
A1 Rajkumar N Parwani
YR 2014
UL http://casereports.bmj.com/content/2014/bcr-2013-009215.abstract
AB Papillary cystadenocarcinoma (PCC) is an uncommon malignant tumour of the salivary gland, sometimes involving the minor salivary gland. Previously this entity was classified as an atypical type of adenocarcinoma, malignant papillary cystadenoma, low-grade papillary adenocarcinoma or mucus producing adenopapillary carcinoma. PCC is a glandular tumour with an indolent biological behaviour characterised by cysts and papillary endophytic projections. We report two cases of PCC involving the minor salivary gland of the hard palate. Both the patients presented with a swelling in the palate with difficulty in chewing. MRI revealed an extensively destructive lesion involving hard palate, alveolar ridge and maxillary antrum. Clinical and radiological features suggested the malignant nature of the lesion. Histopathology of incisional biopsy revealed tumour proliferation in a multicystic pattern, with extensive papillary proliferation. Diverse and cellular cytomorphology, and cellular and nuclear pleomorphism with few mitotic figures were the prominent features. Both the lesions were confirmed as PCC.