Carcinoma Ex Pleomorphic Adenomas: An Institutional Experience and Literature Review

Isabella Tondi-Resta, Sara B. Hobday, Maria A. Gubbiotti, Jalal B. Jalaly, Christopher H. Rassekh, Kathleen T. Montone, Zubair W. Baloch

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objectives: To provide an institutional experience with cases diagnosed as carcinoma ex pleomorphic adenoma (CXPA), including the cytologic and histologic findings and clinical follow-up, followed by a comparison to the experience documented in the literature. Methods: We identified cases of CXPA diagnosed at our institution from 2011 to 2021 and reviewed the cytologic and histologic diagnoses, as well as the treatment and clinical outcomes. Additionally, a literature review of the English literature was performed on CXPAs from 2011 to 2021. Results: Forty-one cases of CXPA were identified, with the majority subclassified as adenocarcinoma, not otherwise specified. Five tumors underwent cytogenetic studies and five underwent molecular studies. To date, 36 patients are alive, 8 of whom experienced locoregional recurrence or distant metastasis. Conclusions: Our institutional experience was comparable to that reported in the literature. Further studies are required to inquire about the role of molecular profiles of CXPAs in clinical risk assessment.

Original languageEnglish (US)
Pages (from-to)502-515
Number of pages14
JournalAmerican journal of clinical pathology
Volume159
Issue number5
DOIs
StatePublished - May 1 2023
Externally publishedYes

Keywords

  • Carcinoma ex pleomorphic adenoma
  • Pleomorphic adenoma

ASJC Scopus subject areas

  • Pathology and Forensic Medicine

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