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Acinic Cell Carcinoma

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Just like to show one more histologic variety of

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malignancies in the parotid gland and

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that is the acinic cell carcinoma.

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The main reason to point out that in acinic cell

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carcinoma is because it does have about

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a 3% rate of multifocality.

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So if you have that on aspirate already and

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they're doing the preoperative evaluation,

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you want to be very careful to make sure that

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there aren't multiple lesions. Here is the lesion,

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which is actually pretty well defined.

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Might even say it has a nice capsule to it.

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And on the T2-weighted scan,

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it's got a little black rim around it,

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which might suggest, well,

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could this be a pleomorphic adenoma?

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Does have a little bit of irregular margination

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and I'd be a little bit concerned about whether

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there is some infiltration of the subcutaneous fat here.

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On the post-gadolinium enhanced scan, again,

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fairly well-defined mass.

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And yet this was an acinic cell carcinoma.

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No additional lesions, no multiplicity to it.

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So, all set to go to the OR.

Report

Description

Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Tags

Salivary Glands

Neuroradiology

Neoplastic

MRI

Head and Neck

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