case_images: PMC6497915_01
case_images: A 1.5 cm diameter nodule on left half of upper lip before excison.
case_images: CCID-12-209-g0001.jpg
case_images: PMC6497915_01_CCID-12-209-g0001.jpg
case_images: F0001
case_images: On examination, there was a firm, non-fluctuant, skin coloured, non-tender nodule of size 1.5 cmx1.5 cm with overlying normal skin (Figure 1).
case_images: FNAC: aggregates, acini and single scattered benign epithelial cells along with myoepithelial cells and chondromyxoid stromal fragments (Giemsa stain, x40).. Abbreviations: FNAC, fine needle aspiration cytology.
case_images: CCID-12-209-g0002.jpg
case_images: PMC6497915_01_CCID-12-209-g0002.jpg
case_images: F0002
case_images:  FNAC of the lesion was done which showed aggregates, acini and singly scattered benign epithelial cells along with myoepithelial cells and chondromyxoid stromal fragments (Figure 2).
case_images: (A) FNAC smear showing sheet of myoepithelial cells with basophilic dense cytoplasm and central to eccentric, round to oval nuclei with bland chromatin (Giemsa stain, x200). (B) Cluster of epithelial cells with scattered myoepithelial cells in a chondromyxoid background (Giemsa stain, x200).. Abbreviations: FNAC, fine needle aspiration cytology.
case_images: CCID-12-209-g0003.jpg
case_images: PMC6497915_01_CCID-12-209-g0003.jpg
case_images: F0003
case_images: Epithelial cells were round to polygonal with basophilic dense moderate cytoplasm and central to eccentric, round to oval nuclei with bland chromatin on a background of myxoid material, thus pointing towards the possibility of chondroid syringoma (Figure 3A and B). 
case_images: (A) Section showing tumor composed of ducts and glandular structures lined by bland looking epithelial and myoepithelial cells with surrounding chondromyxoid stroma (H&E stain, x40). (B) Focal areas showing ossification and keratinous cyst filled with keratin (H&E stain, x40).. Abbreviations: H&E, hematoxylin and eosin.
case_images: CCID-12-209-g0004.jpg
case_images: PMC6497915_01_CCID-12-209-g0004.jpg
case_images: F0004
case_images: The hematoxylin-eosin stain revealed cystic structures with cystically dilated ducts, nests and glandular structures lined by bland looking epithelial cells along with surrounding chondromyxoid stroma (Figure 4A and B).