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Pigmented pleomorphic adenoma, a novel melanin-pigmented benign salivary gland tumor
Yasunori Takeda1, Masanobu Satoh, Shin-ichi Nakamura
1Department of Oral Pathology, School of Dentistry, Iwate Medical University, Uchimaru 19-1, 020-8505 Morioka, Iwate, Japan. ytakeda@iwate-med.ac.jp
Abstract:
This paper reports a pleomorphic adenoma with grossly visible pigmentation resulting in the macroscopic appearance of melanotic lesion in a 33-year-old Japanese male. In addition to the characteristic histopathological features of a benign pleomorphic adenoma, variously formed and -sized cells, many of which were considered to be melanocytes, containing melanin pigment in their cytoplasm, were distributed in the epithelial component. In addition, melanin pigment was deposited in tumor cells of duct structures. Furthermore, condensed secretory substances with marked pigmentation were frequently seen in the tubular lumina. Perusal of the English language literature revealed only two cases of parenchymal pigmentation of salivary gland tumors: both were mucoepidermoid carcinoma. The possible histogenesis of melanocytes in the salivary gland lesions is discussed, though no firm conclusion could be drawn.
Insights
This study details a rare pigmented pleomorphic adenoma in a Japanese male, featuring melanocytes within the salivary gland tumor. This finding is significant as pigmented salivary gland tumors are exceptionally uncommon.
Area of Science:
- Pathology
- Oncology
- Dermatology
Background:
- Pleomorphic adenoma is the most common salivary gland neoplasm.
- Salivary gland tumors with pigmentation are exceedingly rare in medical literature.
- Previous reports of pigmented parenchymal salivary gland tumors include only mucoepidermoid carcinoma.
Observation:
- A 33-year-old Japanese male presented with a pleomorphic adenoma exhibiting gross, visible pigmentation, macroscopically resembling a melanotic lesion.
- Histopathological examination revealed benign pleomorphic adenoma features with melanocytes containing melanin pigment within the epithelial component.
- Melanin pigment deposition was observed in ductal tumor cells and condensed secretory substances within tubular lumina.
Findings:
- The pleomorphic adenoma contained a significant population of melanocytes, leading to macroscopic melanotic appearance.
- Pigmentation was present in various tumor components, including epithelial cells, ductal cells, and secretory products.
- This case represents a unique instance of a pigmented pleomorphic adenoma, distinct from previously reported pigmented salivary gland tumors.
Implications:
- This case expands the spectrum of salivary gland tumor presentations.
- The presence of melanocytes in pleomorphic adenoma warrants further investigation into their histogenesis and role.
- Understanding such rare presentations is crucial for accurate diagnosis and management of salivary gland neoplasms.
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