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Published in: Head and Neck Pathology 4/2008

01-12-2008 | Case report

Primary Unilateral Multifocal Pleomorphic Adenoma of the Parotid Gland: Molecular Assessment and Literature Review

Authors: John R. Miliauskas, Jennifer L. Hunt

Published in: Head and Neck Pathology | Issue 4/2008

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Abstract

Multiple separate tumors developing in a single salivary gland is rare in previously untreated patients. Tumors that can be multicentric include Warthin tumor, oncocytoma, basal cell adenoma and acinic cell carcinoma. The incidence of multiple primary unilateral pleomorphic adenomas is extremely rare in patients with no prior history of trauma or surgery. We report two cases of primary multicentric pleomorphic adenoma and review the literature. We also subjected one of our cases to a molecular clonality test. The molecular results suggested that the separate nodules were clonally related, arguing against an independent origin.
Literature
1.
go back to reference Andre MP. Double tumeur mixte de la parotide. Ann Otolaryngol. 1954;71:474–5. Andre MP. Double tumeur mixte de la parotide. Ann Otolaryngol. 1954;71:474–5.
2.
go back to reference Batsakis JG. Tumors of the head and neck: clinical and pathological consideration, 2nd ed. Baltimore: Williams and Wilkins Co, 1979:25. Batsakis JG. Tumors of the head and neck: clinical and pathological consideration, 2nd ed. Baltimore: Williams and Wilkins Co, 1979:25.
3.
go back to reference Behnke EE. Unilateral multiple benign mixed tumors of the parotid gland. Laryngoscope. 1982;92:1265–8.PubMedCrossRef Behnke EE. Unilateral multiple benign mixed tumors of the parotid gland. Laryngoscope. 1982;92:1265–8.PubMedCrossRef
4.
go back to reference Carlsoo B, Ekstrand T. Unilateral multiple mixed tumors of the parotid gland. J Laryngolotol. 1977;91:629–31. Carlsoo B, Ekstrand T. Unilateral multiple mixed tumors of the parotid gland. J Laryngolotol. 1977;91:629–31.
5.
go back to reference Debiec-Rychter M, Van Valckenborough I, Vanden Broeck C, Hagemeijer A, Van de Ven WJ, Kas K, et al. Histologic localization of PLAG1 (pleomorphic adenoma gene 1) in pleomorphic adenoma of the salivary gland: cytogenetic evidence of common origin of phenotypically diverse cells. Lab Invest. 2001;81:1289–97.PubMedCrossRef Debiec-Rychter M, Van Valckenborough I, Vanden Broeck C, Hagemeijer A, Van de Ven WJ, Kas K, et al. Histologic localization of PLAG1 (pleomorphic adenoma gene 1) in pleomorphic adenoma of the salivary gland: cytogenetic evidence of common origin of phenotypically diverse cells. Lab Invest. 2001;81:1289–97.PubMedCrossRef
6.
go back to reference Enroth C-M. Histological and clinical aspects of parotid tumors. Acta Otolaryngol (suppl). 1964;191:1–99. Enroth C-M. Histological and clinical aspects of parotid tumors. Acta Otolaryngol (suppl). 1964;191:1–99.
8.
go back to reference Gates GA, Ritter FN, Mesara BW. Multiple primary mixed tumors of the salivary gland. A case report. Arch Otolaryngol. 1966;84:329–31.PubMed Gates GA, Ritter FN, Mesara BW. Multiple primary mixed tumors of the salivary gland. A case report. Arch Otolaryngol. 1966;84:329–31.PubMed
9.
go back to reference Gnepp DR, Schroeder W, Heffner D. Synchronous tumors arising in a single major salivary gland. Cancer. 1989;63:1219–24.PubMedCrossRef Gnepp DR, Schroeder W, Heffner D. Synchronous tumors arising in a single major salivary gland. Cancer. 1989;63:1219–24.PubMedCrossRef
10.
go back to reference Helmstaedter V, Beutner D, Drebber U, Streppel M, Huttenbrink K. Multiple primary pleomorphic adenomas of the unilateral parotid gland. Laryngorhinootologie. 2007;86:448–50.PubMedCrossRef Helmstaedter V, Beutner D, Drebber U, Streppel M, Huttenbrink K. Multiple primary pleomorphic adenomas of the unilateral parotid gland. Laryngorhinootologie. 2007;86:448–50.PubMedCrossRef
11.
go back to reference Lee P-S, Sabbath-Solitare M, Redondo TC, Ongoapin EH. Molecular evidence that the stromal and epithelial cells in pleomorphic adenomas of salivary gland arise from the same origin: clonal analysis using human androgen receptor gene (HUMARA) assay. Hum Pathol. 2000;31:498–503.PubMedCrossRef Lee P-S, Sabbath-Solitare M, Redondo TC, Ongoapin EH. Molecular evidence that the stromal and epithelial cells in pleomorphic adenomas of salivary gland arise from the same origin: clonal analysis using human androgen receptor gene (HUMARA) assay. Hum Pathol. 2000;31:498–503.PubMedCrossRef
12.
go back to reference Noguchi S, Aihara T, Yoshinok K, Motomura K, Inaji S, Koyama H. Demonstration of monoclonal origin of human parotid gland pleomorphic adenoma. Cancer. 1996;71:431–5.CrossRef Noguchi S, Aihara T, Yoshinok K, Motomura K, Inaji S, Koyama H. Demonstration of monoclonal origin of human parotid gland pleomorphic adenoma. Cancer. 1996;71:431–5.CrossRef
13.
go back to reference Seifert G, Donath K. Multiple tumors of the salivary glands—terminology and nomenclature. Oral Oncol Eur J Cancer. 1996;32B:3–7.CrossRef Seifert G, Donath K. Multiple tumors of the salivary glands—terminology and nomenclature. Oral Oncol Eur J Cancer. 1996;32B:3–7.CrossRef
14.
go back to reference Tanimoto H, Kumoi K, Otsuki N, Hirayama Y. Multiple primary pleomorphic adenomas in a single parotid gland: report of a new case. Ear Nose Throat J. 2003;81:341–5. Tanimoto H, Kumoi K, Otsuki N, Hirayama Y. Multiple primary pleomorphic adenomas in a single parotid gland: report of a new case. Ear Nose Throat J. 2003;81:341–5.
15.
go back to reference Turnbull AD, Franzell EL. Multiple tumors of the major salivary glands. Am J Surg. 1969;118:787–9.PubMedCrossRef Turnbull AD, Franzell EL. Multiple tumors of the major salivary glands. Am J Surg. 1969;118:787–9.PubMedCrossRef
16.
go back to reference Yu GY, Ma DQ, Zhang Y, Peng X, Cai Z, Gao Y, et al. Multiple primary tumors of the parotid gland. Int J Oral Maxillofac Surg. 2004;33:531–4.PubMedCrossRef Yu GY, Ma DQ, Zhang Y, Peng X, Cai Z, Gao Y, et al. Multiple primary tumors of the parotid gland. Int J Oral Maxillofac Surg. 2004;33:531–4.PubMedCrossRef
Metadata
Title
Primary Unilateral Multifocal Pleomorphic Adenoma of the Parotid Gland: Molecular Assessment and Literature Review
Authors
John R. Miliauskas
Jennifer L. Hunt
Publication date
01-12-2008
Publisher
Humana Press Inc
Published in
Head and Neck Pathology / Issue 4/2008
Electronic ISSN: 1936-0568
DOI
https://doi.org/10.1007/s12105-008-0081-2

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