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Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2007;133(9):949-950.
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Diagnosis: Salivary duct carcinoma (SDC)
Kleinsasser et al1 first described SDC in 1968. However, this pathologic entity was largely overlooked until the 1990s. In 1991, the World Health Organization included SDC in their salivary neoplasm classification.2 In recent years, numerous clinicopathologic studies have shed new light on this uncommon, high-grade salivary gland malignancy. Salivary duct carcinoma affects a preponderance of men (4:1), usually in the fourth to sixth decades of life. It has been described in both major and minor salivary glands, but more than 80% of cases occur in the parotid gland.3-4 Patients commonly present with a history of a painless, rapidly enlarging mass, although though 25% to 60% have facial palsy and as many as a third may have associated pain.3-4 While SDC usually begins de novo, studies suggest that it can arise as a component of carcinoma ex pleomorphic adenoma. This theory is supported by the fact that the most common histologic . . . [Full Text of this Article]
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Pathology Quiz Case 2
Scot D. Hirschi, Jerry W. Templer, Ronald Miick, and Shellaine R. Frazier
Arch Otolaryngol Head Neck Surg. 2007;133(9):947.
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