Published December 26, 2023 | Version 1
Journal Open

Pleomorphic Adenoma mimicking Schwannoma-Like phenotype: A Case Report

  • 1. Department of Oral and Maxillofacial Pathology, Ibn Sina National College for Medical College for Medical Studies, Jeddah, Kingdom of Saudi Arabia (KSA)
  • 2. Medical Studies, Jeddah, Kingdom of Saudi Arabia (KSA), Department of Oral and Maxillofacial Rehabilitation, Ibn Sina National College for Medical College for Medical Studies, Jeddah, Kingdom of Saudi Arabia (KSA)
  • 3. Medical Officer-Indian Cancer Society, Parel, Mumbai, India

Description

ABSTRACT: 
The schwannoma-like pleomorphic adenoma is a rare histopathological variant of the pleomorphic 
adenoma. It can occur in any salivary gland; however it is most commonly detected in the parotid. 
Pleomorphic adenomas are well-known for their cytomorphological and architectural variability, which 
is  characterised  by  the  presence  of  intermixed  epithelial  and  mesenchymal-like  components.  We 
present  a  rare  case  of  parotid  gland  pleomorphic  adenoma  with  prominent  schwannoma-like 
characteristics that mimicked a benign schwannoma. The tumour had a high prevalence (about 80%) of 
schwannoma-like  regions  with  a  localised  (approximately  20%)  epithelial  component  along  with 
tubular organisation. Only 8 cases of schwannoma-like pleomorphic adenoma have been documented 
in  the  literature,  to  the  best  of  our  knowledge.  The  differential  diagnosis  between  this  entity  and 
neurogenic and myogenic tumors is discussed.

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Additional details

Dates

Accepted
2023-12-26

References

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