case_images: PMC4451658_01
case_images: Extraoral photograph showing swelling and extension over right buccal region
case_images: JOMFP-19-111-g001.jpg
case_images: PMC4451658_01_JOMFP-19-111-g001.jpg
case_images: F1
case_images: Antero-posteriorly it was extending 2 cm from right ala of nose to angle of mandible [Figure 1].
case_images: Intraoral photograph showing no significant finding
case_images: JOMFP-19-111-g002.jpg
case_images: PMC4451658_01_JOMFP-19-111-g002.jpg
case_images: F2
case_images: No significant findings were observed on intraoral examination [Figure 2].
case_images: Computed tomography (CT) suggestive of heterogeneously enhancing lesion in close proximity to superficial lobe of right parotid gland without invasion of the adjacent structures
case_images: JOMFP-19-111-g003.jpg
case_images: PMC4451658_01_JOMFP-19-111-g003.jpg
case_images: F3
case_images: Computed tomography (CT) face [Figure 3] was suggestive of heterogeneously enhancing lesion in close proximity to superficial lobe of right parotid gland without invasion of the adjacent structures.
case_images: (a) Excisional biopsy of the resected tumor mass. (b) Cut sections reveals homogeneous white glistening cut potato appearance. (c) Cut sections show scattered areas of hemorrhages and necrosis
case_images: JOMFP-19-111-g004.jpg
case_images: PMC4451658_01_JOMFP-19-111-g004.jpg
case_images: F4
case_images: Scattered areas of hemorrhages and necrosis were also noted [Figure 4].
case_images: Scanner view showing lesional tissue which is encapsulated (H&E stain, x40) H&E = Hematoxylin and eosin
case_images: JOMFP-19-111-g005.jpg
case_images: PMC4451658_01_JOMFP-19-111-g005.jpg
case_images: F5
case_images: Hematoxylin and eosin (H and E) stained sections showed lesional tissue which was encapsulated [Figure 5].
case_images: Scanner view showing duct like spaces with eosinophilic coagulum. (H&E stain, x40)
case_images: JOMFP-19-111-g006.jpg
case_images: PMC4451658_01_JOMFP-19-111-g006.jpg
case_images: F6
case_images: The lesional tissue was composed of neoplastic glandular epithelial cells arranged in the form of sheets interspersed with numerous small and large duct-like structures filled with eosinophilic coagulum [Figure 6].
case_images: Low-power view showing myxochondroid areas having clear cells with eccentric nuclei (H&E stain, x100)
case_images: JOMFP-19-111-g007.jpg
case_images: PMC4451658_01_JOMFP-19-111-g007.jpg
case_images: F7
case_images: These cells were spindle shaped at places and round to oval at other places with hyperchromatic to vesicular nuclei along with chondromyxoid areas [Figure 7].
case_images: Low-power view showing pleomorphic and hyperchromatic cells with few mitotic figures (H&E stain, x100)
case_images: JOMFP-19-111-g008.jpg
case_images: PMC4451658_01_JOMFP-19-111-g008.jpg
case_images: F8
case_images: At places, pleomorphic and hyperchromatic cells with few mitotic figures were evident [Figure 8].
case_images: Low -power view showing the clear cells and hyalinized areas. (H&E stain, x200)
case_images: JOMFP-19-111-g009.jpg
case_images: PMC4451658_01_JOMFP-19-111-g009.jpg
case_images: F9
case_images: Clear cells and hyalinized areas were interspersed in between these neoplastic glandular epithelial cells [Figure 9].
case_images: Higher-power view showing the numerous malignant pleomorphic and hyperchromatic cells with osteoid tissue and squamous metaplasia (H&E stain, x400)
case_images: JOMFP-19-111-g010.jpg
case_images: PMC4451658_01_JOMFP-19-111-g010.jpg
case_images: F10
case_images: These cells showed squamous metaplasia, along with osteoid-like tissue [Figure 10].
case_images: Higher-power view showing spindle-shaped cells with duct-like spaces and eosinophilic coagulum with few clear cells (H&E stain, x400)
case_images: JOMFP-19-111-g011.jpg
case_images: PMC4451658_01_JOMFP-19-111-g011.jpg
case_images: F11
case_images: Higher-power view showed spindle-shaped cells with duct-like places and eosinophilic coagulum with few clear cells [Figure 11].
case_images: Higher-power view showing spindle-shaped cells with duct-like places filled with eosinophilic coagulum, with necrotic areas and clear cells at places (H&E stain, x400)
case_images: JOMFP-19-111-g012.jpg
case_images: PMC4451658_01_JOMFP-19-111-g012.jpg
case_images: F12
case_images: Higher-power view showed spindle-shaped cells with necrotic areas at places and clear cells [Figures 12 and 13].
case_images: Higher-power view showing spindle-shaped cells with duct-like places filled with eosinophilic coagulum (H&E stain, x400)
case_images: JOMFP-19-111-g013.jpg
case_images: PMC4451658_01_JOMFP-19-111-g013.jpg
case_images: F13
case_images: Higher-power view showed spindle-shaped cells with necrotic areas at places and clear cells [Figures 12 and 13].