Carcinoma Ex Pleomorphic Adenomas: An Institutional Experience and Literature Review

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...

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Veröffentlicht in:American journal of clinical pathology 2023-05, Vol.159 (5), p.502-515
Hauptverfasser: Tondi-Resta, Isabella, Hobday, Sara B, Gubbiotti, Maria A, Jalaly, Jalal B, Rassekh, Christopher H, Montone, Kathleen T, Baloch, Zubair W
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container_end_page 515
container_issue 5
container_start_page 502
container_title American journal of clinical pathology
container_volume 159
creator Tondi-Resta, Isabella
Hobday, Sara B
Gubbiotti, Maria A
Jalaly, Jalal B
Rassekh, Christopher H
Montone, Kathleen T
Baloch, Zubair W
description 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.
doi_str_mv 10.1093/ajcp/aqac181
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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.</description><identifier>ISSN: 0002-9173</identifier><identifier>EISSN: 1943-7722</identifier><identifier>DOI: 10.1093/ajcp/aqac181</identifier><identifier>PMID: 36921078</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adenocarcinoma ; Adenocarcinoma - pathology ; Adenoma ; Adenoma, Pleomorphic - pathology ; Analysis ; Cancer ; Carcinoma ; Cytogenetics ; Humans ; Literature reviews ; Medical research ; Medicine, Experimental ; Metastases ; Neoplasm Recurrence, Local ; Risk assessment ; Salivary Gland Neoplasms - pathology</subject><ispartof>American journal of clinical pathology, 2023-05, Vol.159 (5), p.502-515</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of American Society for Clinical Pathology. All rights reserved. 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For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-e4d0a4cf778b604779c8a7f2728177560396a7e6725e0585e3be0a5b67188e1f3</citedby><cites>FETCH-LOGICAL-c418t-e4d0a4cf778b604779c8a7f2728177560396a7e6725e0585e3be0a5b67188e1f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36921078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tondi-Resta, Isabella</creatorcontrib><creatorcontrib>Hobday, Sara B</creatorcontrib><creatorcontrib>Gubbiotti, Maria A</creatorcontrib><creatorcontrib>Jalaly, Jalal B</creatorcontrib><creatorcontrib>Rassekh, Christopher H</creatorcontrib><creatorcontrib>Montone, Kathleen T</creatorcontrib><creatorcontrib>Baloch, Zubair W</creatorcontrib><title>Carcinoma Ex Pleomorphic Adenomas: An Institutional Experience and Literature Review</title><title>American journal of clinical pathology</title><addtitle>Am J Clin Pathol</addtitle><description>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. 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subjects Adenocarcinoma
Adenocarcinoma - pathology
Adenoma
Adenoma, Pleomorphic - pathology
Analysis
Cancer
Carcinoma
Cytogenetics
Humans
Literature reviews
Medical research
Medicine, Experimental
Metastases
Neoplasm Recurrence, Local
Risk assessment
Salivary Gland Neoplasms - pathology
title Carcinoma Ex Pleomorphic Adenomas: An Institutional Experience and Literature Review
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