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Published in: Head and Neck Pathology 3/2018

01-09-2018 | Special Issue: Ear

Ear and Temporal Bone Pathology: Neural, Sclerosing and Myofibroblastic Lesions

Authors: A. N. Flaman, J. K. Wasserman, D. H. Gravel, B. M. Purgina

Published in: Head and Neck Pathology | Issue 3/2018

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Abstract

Neural, sclerosing, and myofibroblastic lesions of the ear and temporal bone present diagnostic challenges for both clinicians and pathologists due to significant overlap in their clinical presentations, histologic appearances, and immunohistochemical profiles. While some of these lesions, such as schwannomas, are relatively common, others are rendered even more difficult because they are encountered very rarely in routine surgical pathology practice. This review is intended to provide an update on the pathology of some of the most commonly encountered primary diagnostic entities for the ear and temporal bone, and includes the following neural lesions: schwannoma, meningioma, and encephalocele/meningocele. Sclerosing lesions that will be discussed include spindle cell and sclerosing rhabdomyosarcoma, sclerosing epithelioid fibrosarcoma, and sclerosing paraganglioma. Finally, myofibroblastic lesions that will be reviewed are nodular fasciitis, IgG4-related disease, and solitary fibrous tumor. For each of these lesions, the differential diagnosis and useful ancillary tests will be discussed in the context of a broad range of additional primary and secondary lesions.
Literature
1.
go back to reference Sandison A, Thompson LDR, Wenig BM. Tumours of the middle and inner ear: vestibular schwannoma. In: El-Naggar AK et al., editors. WHO classification of head and neck tumours. Lyon: IARC; 2017. Sandison A, Thompson LDR, Wenig BM. Tumours of the middle and inner ear: vestibular schwannoma. In: El-Naggar AK et al., editors. WHO classification of head and neck tumours. Lyon: IARC; 2017.
2.
go back to reference Bari ME, et al. Malignancy in a vestibular schwannoma. Report of a case with central neurofibromatosis, treated by both stereotactic radiosurgery and surgical excision, with a review of the literature. Br J Neurosurg. 2002;16(3):284–9.CrossRefPubMed Bari ME, et al. Malignancy in a vestibular schwannoma. Report of a case with central neurofibromatosis, treated by both stereotactic radiosurgery and surgical excision, with a review of the literature. Br J Neurosurg. 2002;16(3):284–9.CrossRefPubMed
3.
go back to reference Carlson ML, et al. Malignant peripheral nerve sheath tumors of the eighth cranial nerve arising without prior irradiation. J Neurosurg. 2016;125(5):1120–9.CrossRefPubMed Carlson ML, et al. Malignant peripheral nerve sheath tumors of the eighth cranial nerve arising without prior irradiation. J Neurosurg. 2016;125(5):1120–9.CrossRefPubMed
4.
go back to reference Seferis C, et al. Malignant transformation in vestibular schwannoma: report of a single case, literature search, and debate. J Neurosurg. 2014;121(Suppl):160–6.PubMed Seferis C, et al. Malignant transformation in vestibular schwannoma: report of a single case, literature search, and debate. J Neurosurg. 2014;121(Suppl):160–6.PubMed
5.
go back to reference Nielsen GP, Antonescu CR, Lothe R. Malignant peripheral nerve sheath tumour. 4th ed. In: Fletcher CDM et al., editors. WHO classification of tumours of soft tissue and bone. Lyon: IARC; 2013. Nielsen GP, Antonescu CR, Lothe R. Malignant peripheral nerve sheath tumour. 4th ed. In: Fletcher CDM et al., editors. WHO classification of tumours of soft tissue and bone. Lyon: IARC; 2013.
6.
go back to reference Jo VY, Fletcher CD. Epithelioid malignant peripheral nerve sheath tumor: clinicopathologic analysis of 63 cases. Am J Surg Pathol. 2015;39(5):673–82.CrossRefPubMed Jo VY, Fletcher CD. Epithelioid malignant peripheral nerve sheath tumor: clinicopathologic analysis of 63 cases. Am J Surg Pathol. 2015;39(5):673–82.CrossRefPubMed
7.
go back to reference Prieto-Granada CN, et al. Loss of H3K27me3 expression is a highly sensitive marker for sporadic and radiation-induced MPNST. Am J Surg Pathol. 2016;40(4):479–89.CrossRefPubMedPubMedCentral Prieto-Granada CN, et al. Loss of H3K27me3 expression is a highly sensitive marker for sporadic and radiation-induced MPNST. Am J Surg Pathol. 2016;40(4):479–89.CrossRefPubMedPubMedCentral
8.
go back to reference Schaefer IM, Fletcher CD, Hornick JL. Loss of H3K27 trimethylation distinguishes malignant peripheral nerve sheath tumors from histologic mimics. Mod Pathol. 2016;29(1):4–13.CrossRefPubMed Schaefer IM, Fletcher CD, Hornick JL. Loss of H3K27 trimethylation distinguishes malignant peripheral nerve sheath tumors from histologic mimics. Mod Pathol. 2016;29(1):4–13.CrossRefPubMed
9.
go back to reference Thompson LD, et al. Primary ear and temporal bone meningiomas: a clinicopathologic study of 36 cases with a review of the literature. Mod Pathol. 2003;16(3):236–45.CrossRefPubMed Thompson LD, et al. Primary ear and temporal bone meningiomas: a clinicopathologic study of 36 cases with a review of the literature. Mod Pathol. 2003;16(3):236–45.CrossRefPubMed
10.
go back to reference Liu Y, et al. Primary extradural meningiomas in head: a report of 19 cases and review of literature. Int J Clin Exp Pathol. 2015;8(5):5624–32.PubMedPubMedCentral Liu Y, et al. Primary extradural meningiomas in head: a report of 19 cases and review of literature. Int J Clin Exp Pathol. 2015;8(5):5624–32.PubMedPubMedCentral
11.
go back to reference Dixon J, Zammit-Maempel I, Hill J. External auditory canal meningioma: imaging features in a series of three cases. J Laryngol Otol. 2017;131(3):273–9.CrossRefPubMed Dixon J, Zammit-Maempel I, Hill J. External auditory canal meningioma: imaging features in a series of three cases. J Laryngol Otol. 2017;131(3):273–9.CrossRefPubMed
12.
go back to reference Mingo K, et al. Hyperostotic en plaque meningioma mimicking fibrous dysplasia of the temporal bone. Otol Neurotol. 2016;37(9):e317–8.CrossRefPubMed Mingo K, et al. Hyperostotic en plaque meningioma mimicking fibrous dysplasia of the temporal bone. Otol Neurotol. 2016;37(9):e317–8.CrossRefPubMed
13.
go back to reference Thompson LD. Ear and temporal bone meningioma. Ear Nose Throat J. 2016;95(4–5):146.PubMed Thompson LD. Ear and temporal bone meningioma. Ear Nose Throat J. 2016;95(4–5):146.PubMed
14.
go back to reference Ereno C, et al. Temporal bone secretory meningioma presenting as a middle ear mass. Pathol Res Pract. 2006;202(6):481–4.CrossRefPubMed Ereno C, et al. Temporal bone secretory meningioma presenting as a middle ear mass. Pathol Res Pract. 2006;202(6):481–4.CrossRefPubMed
15.
go back to reference Perry A, et al., Meningioma. In: Louis DN et al., editor. WHO classification of tumours of the central nervous system. Lyon: IARC; 2016. Perry A, et al., Meningioma. In: Louis DN et al., editor. WHO classification of tumours of the central nervous system. Lyon: IARC; 2016.
16.
go back to reference Hahn HP, Bundock EA, Hornick JL. Immunohistochemical staining for claudin-1 can help distinguish meningiomas from histologic mimics. Am J Clin Pathol. 2006;125(2):203–8.CrossRefPubMed Hahn HP, Bundock EA, Hornick JL. Immunohistochemical staining for claudin-1 can help distinguish meningiomas from histologic mimics. Am J Clin Pathol. 2006;125(2):203–8.CrossRefPubMed
17.
go back to reference Pravdenkova S, et al. Progesterone and estrogen receptors: opposing prognostic indicators in meningiomas. J Neurosurg. 2006;105(2):163–73.CrossRefPubMed Pravdenkova S, et al. Progesterone and estrogen receptors: opposing prognostic indicators in meningiomas. J Neurosurg. 2006;105(2):163–73.CrossRefPubMed
18.
go back to reference Mawrin C, Perry A. Pathological classification and molecular genetics of meningiomas. J Neurooncol. 2010;99(3):379–91.CrossRefPubMed Mawrin C, Perry A. Pathological classification and molecular genetics of meningiomas. J Neurooncol. 2010;99(3):379–91.CrossRefPubMed
19.
go back to reference Vallicioni JM, et al. Idiopathic temporal encephalocele: report of two cases. Am J Otol. 1999;20(3):390–3.PubMed Vallicioni JM, et al. Idiopathic temporal encephalocele: report of two cases. Am J Otol. 1999;20(3):390–3.PubMed
20.
go back to reference Gyure KA, Thompson LD, Morrison AL. A clinicopathological study of 15 patients with neuroglial heterotopias and encephaloceles of the middle ear and mastoid region. Laryngoscope. 2000;110(10 Pt 1):1731–5.CrossRefPubMed Gyure KA, Thompson LD, Morrison AL. A clinicopathological study of 15 patients with neuroglial heterotopias and encephaloceles of the middle ear and mastoid region. Laryngoscope. 2000;110(10 Pt 1):1731–5.CrossRefPubMed
21.
go back to reference Shim HJ, et al. Neuroglial choristoma of the middle ear with massive tympanosclerosis: a case report and literature review. J Audiol Otol. 2016;20(3):179–82.CrossRefPubMedPubMedCentral Shim HJ, et al. Neuroglial choristoma of the middle ear with massive tympanosclerosis: a case report and literature review. J Audiol Otol. 2016;20(3):179–82.CrossRefPubMedPubMedCentral
22.
go back to reference Turner JH, Richmon JD. Head and neck rhabdomyosarcoma: a critical analysis of population-based incidence and survival data. Otolaryngol Head Neck Surg. 2011;145(6):967–73.CrossRefPubMed Turner JH, Richmon JD. Head and neck rhabdomyosarcoma: a critical analysis of population-based incidence and survival data. Otolaryngol Head Neck Surg. 2011;145(6):967–73.CrossRefPubMed
23.
24.
go back to reference Nascimento AG, Barr F. Skeletal-muscle tumours: spindle cell/sclerosing rhabdomyosarcoma. 4th ed. In: WHO classification of tumours of soft tissue and bone. Lyon: IARC; 2013. Nascimento AG, Barr F. Skeletal-muscle tumours: spindle cell/sclerosing rhabdomyosarcoma. 4th ed. In: WHO classification of tumours of soft tissue and bone. Lyon: IARC; 2013.
25.
go back to reference Rekhi B, Singhvi T. Histopathological, immunohistochemical and molecular cytogenetic analysis of 21 spindle cell/sclerosing rhabdomyosarcomas. APMIS. 2014;122(11):1144–52.PubMed Rekhi B, Singhvi T. Histopathological, immunohistochemical and molecular cytogenetic analysis of 21 spindle cell/sclerosing rhabdomyosarcomas. APMIS. 2014;122(11):1144–52.PubMed
26.
go back to reference Folpe AL, et al. Sclerosing rhabdomyosarcoma in adults: report of four cases of a hyalinizing, matrix-rich variant of rhabdomyosarcoma that may be confused with osteosarcoma, chondrosarcoma, or angiosarcoma. Am J Surg Pathol. 2002;26(9):1175–83.CrossRefPubMed Folpe AL, et al. Sclerosing rhabdomyosarcoma in adults: report of four cases of a hyalinizing, matrix-rich variant of rhabdomyosarcoma that may be confused with osteosarcoma, chondrosarcoma, or angiosarcoma. Am J Surg Pathol. 2002;26(9):1175–83.CrossRefPubMed
27.
go back to reference Mentzel T, Katenkamp D. Sclerosing, pseudovascular rhabdomyosarcoma in adults. Clinicopathological and immunohistochemical analysis of three cases. Virchows Arch. 2000;436(4):305–11.CrossRefPubMed Mentzel T, Katenkamp D. Sclerosing, pseudovascular rhabdomyosarcoma in adults. Clinicopathological and immunohistochemical analysis of three cases. Virchows Arch. 2000;436(4):305–11.CrossRefPubMed
28.
go back to reference Mentzel T, Kuhnen C. Spindle cell rhabdomyosarcoma in adults: clinicopathological and immunohistochemical analysis of seven new cases. Virchows Arch. 2006;449(5):554–60.CrossRefPubMed Mentzel T, Kuhnen C. Spindle cell rhabdomyosarcoma in adults: clinicopathological and immunohistochemical analysis of seven new cases. Virchows Arch. 2006;449(5):554–60.CrossRefPubMed
29.
go back to reference Agaram NP, et al. Recurrent MYOD1 mutations in pediatric and adult sclerosing and spindle cell rhabdomyosarcomas: evidence for a common pathogenesis. Genes Chromosomes Cancer. 2014;53(9):779–87.CrossRefPubMedPubMedCentral Agaram NP, et al. Recurrent MYOD1 mutations in pediatric and adult sclerosing and spindle cell rhabdomyosarcomas: evidence for a common pathogenesis. Genes Chromosomes Cancer. 2014;53(9):779–87.CrossRefPubMedPubMedCentral
30.
31.
go back to reference Weissinger SE, et al. A diagnostic algorithm to distinguish desmoplastic from spindle cell melanoma. Mod Pathol. 2014;27(4):524–34.CrossRefPubMed Weissinger SE, et al. A diagnostic algorithm to distinguish desmoplastic from spindle cell melanoma. Mod Pathol. 2014;27(4):524–34.CrossRefPubMed
32.
33.
go back to reference Antonescu CR, et al. Sclerosing epithelioid fibrosarcoma: a study of 16 cases and confirmation of a clinicopathologically distinct tumor. Am J Surg Pathol. 2001;25(6):699–709.CrossRefPubMed Antonescu CR, et al. Sclerosing epithelioid fibrosarcoma: a study of 16 cases and confirmation of a clinicopathologically distinct tumor. Am J Surg Pathol. 2001;25(6):699–709.CrossRefPubMed
35.
go back to reference Hasan Z, Clark JR, Fowler A. A facial dismasking approach for resection of an infratemporal fossa sclerosing epithelioid fibrosarcoma. ANZ J Surg. 2011;81(12):947–8.CrossRefPubMed Hasan Z, Clark JR, Fowler A. A facial dismasking approach for resection of an infratemporal fossa sclerosing epithelioid fibrosarcoma. ANZ J Surg. 2011;81(12):947–8.CrossRefPubMed
36.
go back to reference Doyle LA, et al. MUC4 is a sensitive and extremely useful marker for sclerosing epithelioid fibrosarcoma: association with FUS gene rearrangement. Am J Surg Pathol. 2012;36(10):1444–51.CrossRefPubMed Doyle LA, et al. MUC4 is a sensitive and extremely useful marker for sclerosing epithelioid fibrosarcoma: association with FUS gene rearrangement. Am J Surg Pathol. 2012;36(10):1444–51.CrossRefPubMed
37.
go back to reference Mohamed M, Fisher C, Thway K. Low-grade fibromyxoid sarcoma: clinical, morphologic and genetic features. Ann Diagn Pathol. 2017;28:60–7.CrossRefPubMed Mohamed M, Fisher C, Thway K. Low-grade fibromyxoid sarcoma: clinical, morphologic and genetic features. Ann Diagn Pathol. 2017;28:60–7.CrossRefPubMed
38.
go back to reference Doyle LA, et al. MUC4 is a highly sensitive and specific marker for low-grade fibromyxoid sarcoma. Am J Surg Pathol. 2011;35(5):733–41.CrossRefPubMed Doyle LA, et al. MUC4 is a highly sensitive and specific marker for low-grade fibromyxoid sarcoma. Am J Surg Pathol. 2011;35(5):733–41.CrossRefPubMed
40.
go back to reference Williams MD, Tischler AS. Update from the 4th edition of the World Health Organization classification of head and neck tumours: paragangliomas. Head Neck Pathol. 2017;11(1):88–95.CrossRefPubMedPubMedCentral Williams MD, Tischler AS. Update from the 4th edition of the World Health Organization classification of head and neck tumours: paragangliomas. Head Neck Pathol. 2017;11(1):88–95.CrossRefPubMedPubMedCentral
41.
go back to reference Plaza JA, et al. Sclerosing paraganglioma: report of 19 cases of an unusual variant of neuroendocrine tumor that may be mistaken for an aggressive malignant neoplasm. Am J Surg Pathol. 2006;30(1):7–12.CrossRefPubMed Plaza JA, et al. Sclerosing paraganglioma: report of 19 cases of an unusual variant of neuroendocrine tumor that may be mistaken for an aggressive malignant neoplasm. Am J Surg Pathol. 2006;30(1):7–12.CrossRefPubMed
42.
go back to reference Weinreb I, et al. Nodular fasciitis of the head and neck region: a clinicopathologic description in a series of 30 cases. J Cutan Pathol. 2009;36(11):1168–73.CrossRefPubMed Weinreb I, et al. Nodular fasciitis of the head and neck region: a clinicopathologic description in a series of 30 cases. J Cutan Pathol. 2009;36(11):1168–73.CrossRefPubMed
43.
go back to reference Gibson TC, Bishop JA, Thompson LD. Parotid gland nodular fasciitis: a clinicopathologic series of 12 cases with a review of 18 cases from the literature. Head Neck Pathol. 2015;9(3):334–44.CrossRefPubMed Gibson TC, Bishop JA, Thompson LD. Parotid gland nodular fasciitis: a clinicopathologic series of 12 cases with a review of 18 cases from the literature. Head Neck Pathol. 2015;9(3):334–44.CrossRefPubMed
44.
go back to reference Erickson-Johnson MR, et al. Nodular fasciitis: a novel model of transient neoplasia induced by MYH9-USP6 gene fusion. Lab Invest. 2011;91(10):1427–33.CrossRefPubMed Erickson-Johnson MR, et al. Nodular fasciitis: a novel model of transient neoplasia induced by MYH9-USP6 gene fusion. Lab Invest. 2011;91(10):1427–33.CrossRefPubMed
45.
go back to reference Cowan ML, et al. Low-grade fibromyxoid sarcoma of the head and neck: a clinicopathologic series and review of the literature. Head Neck Pathol. 2016;10(2):161–6.CrossRefPubMed Cowan ML, et al. Low-grade fibromyxoid sarcoma of the head and neck: a clinicopathologic series and review of the literature. Head Neck Pathol. 2016;10(2):161–6.CrossRefPubMed
46.
go back to reference Lau PP, et al. EWSR1-CREB3L1 gene fusion: a novel alternative molecular aberration of low-grade fibromyxoid sarcoma. Am J Surg Pathol. 2013;37(5):734–8.CrossRefPubMed Lau PP, et al. EWSR1-CREB3L1 gene fusion: a novel alternative molecular aberration of low-grade fibromyxoid sarcoma. Am J Surg Pathol. 2013;37(5):734–8.CrossRefPubMed
47.
go back to reference Devaney KO, et al. Inflammatory myofibroblastic tumors of the head and neck: evaluation of clinicopathologic and prognostic features. Eur Arch Otorhinolaryngol. 2012;269(12):2461–5.CrossRefPubMed Devaney KO, et al. Inflammatory myofibroblastic tumors of the head and neck: evaluation of clinicopathologic and prognostic features. Eur Arch Otorhinolaryngol. 2012;269(12):2461–5.CrossRefPubMed
48.
go back to reference Bhatti RM, Stelow EB. IgG4-related disease of the head and neck. Adv Anat Pathol. 2013;20(1):10–6.CrossRefPubMed Bhatti RM, Stelow EB. IgG4-related disease of the head and neck. Adv Anat Pathol. 2013;20(1):10–6.CrossRefPubMed
50.
51.
go back to reference Takano K, et al. Recent advances in knowledge regarding the head and neck manifestations of IgG4-related disease. Auris Nasus Larynx. 2017;44(1):7–17.CrossRefPubMed Takano K, et al. Recent advances in knowledge regarding the head and neck manifestations of IgG4-related disease. Auris Nasus Larynx. 2017;44(1):7–17.CrossRefPubMed
52.
go back to reference Deshpande V, et al. Consensus statement on the pathology of IgG4-related disease. Mod Pathol. 2012;25(9):1181–92.CrossRefPubMed Deshpande V, et al. Consensus statement on the pathology of IgG4-related disease. Mod Pathol. 2012;25(9):1181–92.CrossRefPubMed
53.
go back to reference He CY, et al. Inflammatory myofibroblastic tumors of the nasal cavity and paranasal sinus: a clinicopathologic study of 25 cases and review of the literature. Eur Arch Otorhinolaryngol. 2015;272(4):789–97.CrossRefPubMed He CY, et al. Inflammatory myofibroblastic tumors of the nasal cavity and paranasal sinus: a clinicopathologic study of 25 cases and review of the literature. Eur Arch Otorhinolaryngol. 2015;272(4):789–97.CrossRefPubMed
54.
go back to reference Ong HS, et al. Head and neck inflammatory myofibroblastic tumor (IMT): evaluation of clinicopathologic and prognostic features. Oral Oncol. 2012;48(2):141–8.CrossRefPubMed Ong HS, et al. Head and neck inflammatory myofibroblastic tumor (IMT): evaluation of clinicopathologic and prognostic features. Oral Oncol. 2012;48(2):141–8.CrossRefPubMed
55.
go back to reference Pierry C, et al. Polypoid laryngeal inflammatory myofibroblastic tumors: misleading lesions: description of six cases showing ALK overexpression. Am J Clin Pathol. 2015;144(3):511–6.CrossRefPubMed Pierry C, et al. Polypoid laryngeal inflammatory myofibroblastic tumors: misleading lesions: description of six cases showing ALK overexpression. Am J Clin Pathol. 2015;144(3):511–6.CrossRefPubMed
56.
go back to reference Lazaridou M, et al. Inflammatory myofibroblastic tumour of the maxillary sinus and the oral cavity. Oral Maxillofac Surg. 2014;18(1):111–4.CrossRefPubMed Lazaridou M, et al. Inflammatory myofibroblastic tumour of the maxillary sinus and the oral cavity. Oral Maxillofac Surg. 2014;18(1):111–4.CrossRefPubMed
57.
go back to reference Rezk S, et al. Solitary fibrous tumor of the auditory canal. Arch Pathol Lab Med. 2004;128(12):e169–71.PubMed Rezk S, et al. Solitary fibrous tumor of the auditory canal. Arch Pathol Lab Med. 2004;128(12):e169–71.PubMed
58.
go back to reference Izumaru S, Yoshida Y, Nakashima T. A solitary fibrous tumor in the external auditory meatus. Auris Nasus Larynx. 2004;31(1):65–7.CrossRefPubMed Izumaru S, Yoshida Y, Nakashima T. A solitary fibrous tumor in the external auditory meatus. Auris Nasus Larynx. 2004;31(1):65–7.CrossRefPubMed
60.
go back to reference Kunzel J, et al. Head and neck solitary fibrous tumors: a rare and challenging entity. Eur Arch Otorhinolaryngol. 2016;273(6):1589–98.CrossRefPubMed Kunzel J, et al. Head and neck solitary fibrous tumors: a rare and challenging entity. Eur Arch Otorhinolaryngol. 2016;273(6):1589–98.CrossRefPubMed
61.
go back to reference Cox DP, Daniels T, Jordan RC. Solitary fibrous tumor of the head and neck. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(1):79–84.CrossRefPubMed Cox DP, Daniels T, Jordan RC. Solitary fibrous tumor of the head and neck. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(1):79–84.CrossRefPubMed
62.
go back to reference Doyle LA, et al. Nuclear expression of STAT6 distinguishes solitary fibrous tumor from histologic mimics. Mod Pathol. 2014;27(3):390–5.CrossRefPubMed Doyle LA, et al. Nuclear expression of STAT6 distinguishes solitary fibrous tumor from histologic mimics. Mod Pathol. 2014;27(3):390–5.CrossRefPubMed
63.
go back to reference Yoshida A, et al. STAT6 immunohistochemistry is helpful in the diagnosis of solitary fibrous tumors. Am J Surg Pathol. 2014;38(4):552–9.CrossRefPubMed Yoshida A, et al. STAT6 immunohistochemistry is helpful in the diagnosis of solitary fibrous tumors. Am J Surg Pathol. 2014;38(4):552–9.CrossRefPubMed
Metadata
Title
Ear and Temporal Bone Pathology: Neural, Sclerosing and Myofibroblastic Lesions
Authors
A. N. Flaman
J. K. Wasserman
D. H. Gravel
B. M. Purgina
Publication date
01-09-2018
Publisher
Springer US
Published in
Head and Neck Pathology / Issue 3/2018
Electronic ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-018-0891-9

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