Qap (Anatomical Pathology) 

QAP Peer Review

AP258
Case History: M/50 History of recurrent pleomorphic adenomas. Mandibulectomy for cystic mass in mandible
Intended diagnosis: Carcinoma ex-pleomorphic adenoma. Contributed by:USK
Code Diagnosis Comment Score
anonymous Myoepithelial carcinoma (100%) Immunostains for p63, calponin, S100 for confirmation.  95
anonymous Pleomorphic adenoma nil  50
anonymous Carcinoma ex pleomorphic adenoma (1oo%) nil  100
anonymous Pleomorphic adenoma (recurrent) - 60% Myoepithelial carcinoma, compatible with carcinoma ex pleomorphic adenoma - 40% nil  70
anonymous Myoepithelial neoplasm of uncertain malignant potential. 100% Sampling to look for definite invasive growth to confirm malignant category.  90
anonymous Recurrent pleomorphic adenoma.(100%) Correlate with clinical and radiological findings to see how invasive the lesion is.  50
anonymous ORAL CAVITY, mandibulectomy - MYOEPITHELIAL CARCINOMA 100% Correlated with known history of recurrent PA, this is suggestive of Carcinoma ex pleomorphic adenoma.  100
anonymous Pleomorphic adenoma with predominant myoepithelial component nil  50
anonymous Carcinoma ex pleomorphic adenoma (100%) nil  100
anonymous Carcinoma ex pleomorphic adenoma, suggestive of Myoepithelial carcinoma ex pleomorphic adenoma. nil  100
anonymous Mandible cystic mass - Carcinoma Ex pleomorphic adenoma, with suggestion of myoepithelial differentiation (i.e. myoepithelial carcinoma) nil  100
anonymous Carcinoma ex pleomorphic adenoma nil  100
anonymous Low grade carcinoma, probably ex-pleomorphic adenoma. (100%) nil  100
anonymous Myoepithelial carcinoma. (100% probability) nil  95
anonymous Myoepithelial carcinoma, 100% nil  95
anonymous Mandible - Carcinoma ex Pleomorphic Adenoma nil  100