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<ul><li><strong>Specimen:</strong> Right Parotid Gland Mass (Excision)</li><li><strong>Diagnosis:</strong> <strong>Adenoid Cystic Carcinoma (ACC)</strong></li><li><strong>Histologic Patterns:</strong> Predominantly <strong>Cribriform</strong> ("Swiss cheese") with significant <strong>Solid</strong> components.</li><li><strong>Grade:</strong> <strong>Grade 3</strong> (High grade, >30% solid growth).</li><li><strong>Perineural Invasion (PNI):</strong> <strong>Absent. </strong></li><li><strong>Lymphovascular Invasion (LVI):</strong> <strong>Present.</strong></li><li><strong>Surgical Margins:</strong> <strong>Positive. </strong></li><li><strong>Pathologic Staging:</strong> <strong>pT2NxMx</strong><strong>pT2:</strong> Tumor >2 cm but ≤4 cm, confined to the parotid.</li></ul>
<p class="ql-align-justify">Painless swelling in the right parotid gland of 8 years duration.</p>
<p class="ql-align-justify">One soft tissue mass measured 3.5x2.8x2.5, totally embedded.</p>
<p><strong><em><u>Right Parotid Gland Mass, Excision:</u></em></strong></p><ul><li><strong>Adenoid Cystic Carcinoma, Cribriform and Solid types.</strong></li><li><strong>Margins are positive. </strong></li><li><strong>Stage pT2NxMx</strong>.</li></ul>
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