A 38-year-old woman is found to have a painless, mobile mass in the submandibular gland on routine examination. Biopsy reveals adenoid cystic carcinoma. Which histologic feature most reliably distinguishes adenoid cystic carcinoma from pleomorphic adenoma?
Regarding salivary gland tumors, all of the following statements are correct EXCEPT:
A 38-year-old woman undergoes ultrasound for a left submandibular gland mass. The ultrasound shows a hypoechoic lesion with indistinct margins and heterogeneous echotexture. FNAC is performed and shows malignant cells. Which investigation is most appropriate next to assess for perineural spread and determine surgical margins?
A 52-year-old woman presents with a 2-year history of a painless, slow-growing mass in the superficial lobe of the parotid gland. On examination, the overlying skin is intact, facial nerve function is normal, and the mass is mobile. Which histopathological feature best distinguishes this likely pleomorphic adenoma from an acinic cell carcinoma?
A 52-year-old man presents with a 3-month history of a painless, slow-growing swelling in the right parotid region. On examination, there is a 2 cm firm, mobile mass in the superficial lobe of the parotid gland. Facial nerve function is intact. There are no skin changes or signs of malignancy. What is the most appropriate next step in management?
+ 41 more questions available after sign-up
Ready to test yourself?
Test your ENT knowledge with AI-powered MCQs and detailed explanations — no signup required to try.
Sign up free and practice all 46 Salivary Gland Tumors MCQs with AI-powered explanations tailored to your performance.
Create Free Account