case_images: PMC7501749_01
case_images: side photo showing a left parotid mass of 15 cm long axis with a bumpy surface and peeling off the ear lobule. The skin next to the swelling was healthy
case_images: PAMJ-37-2-g001.jpg
case_images: PMC7501749_01_PAMJ-37-2-g001.jpg
case_images: F1
case_images: However, the skin next to the swelling was healthy (Figure 1).
case_images: parotid MRI in axial sections showing a left parotid mass in T2 hypersignal A) and T1 hyposignal B)
case_images: PAMJ-37-2-g002.jpg
case_images: PMC7501749_01_PAMJ-37-2-g002.jpg
case_images: F2
case_images: No cervical lymphadenopathy was identified in this exam (Figure 2).
case_images: intraoperative view showing subcutaneous separation and tumor exposure
case_images: PAMJ-37-2-g003.jpg
case_images: PMC7501749_01_PAMJ-37-2-g003.jpg
case_images: F3
case_images: A simple skin suture was performed without using a flap (Figure 3, Figure 4).
case_images: aspect of excised tumoural formation. It measured 15 cm in large diameter
case_images: PAMJ-37-2-g004.jpg
case_images: PMC7501749_01_PAMJ-37-2-g004.jpg
case_images: F4
case_images: A simple skin suture was performed without using a flap (Figure 3, Figure 4).
case_images: A) abrupt transition from pleomorphic adenoma (yellow arrow at right) to sarcomatoid carcinoma (black arrow at left), HEx40; B) epithelial myoepithelial carcinoma formed by ducts or tubules with an outer rim of myoepithelial cells and inner, dark ductal cells with scant eosinophilic cytoplasm and round, bland nuclei (HEx400); C) spindle cells showing mild to marked nuclear atypia with frequent mitotic figures HEx 400; D) spindle cells are focally positive with AE1/AE3
case_images: PAMJ-37-2-g005.jpg
case_images: PMC7501749_01_PAMJ-37-2-g005.jpg
case_images: F5
case_images: Spindle cells were negative with PS100, smooth muscle actin, p63 and were focally positive with AE1/AE3 (Figure 5).
case_images: patient 7 months after the surgery. There were no swellings in the left parotid region
case_images: PAMJ-37-2-g006.jpg
case_images: PMC7501749_01_PAMJ-37-2-g006.jpg
case_images: F6
case_images: We didn t notice any recurrence after 7 months of surveillance (Figure 6).