Paediatric myofibroma of the parotid gland: a rare masquerade of pleomorphic adenoma.
AI interpretation is pending for this paper.
Open original publication →What the AI sees
Not AI summarized yet.
Research significance
Pending deeper interpretation.
Source abstract
Paediatric parotid masses are relatively rare clinical entities, with pleomorphic adenoma representing the predominant benign aetiology. We document the clinical trajectory of a male patient in middle childhood presenting with an asymptomatic, progressive left parotid mass. Although preliminary MRI and cytology favoured a diagnosis of pleomorphic adenoma, the patient underwent a left superficial parotidectomy for definitive management. Histopathological assessment unveiled an unencapsulated spindle cell neoplasm characterised by a vague nodular architecture, hyalinised stroma and increased mitotic activity. While the presence of smooth muscle actin and desmin expression raised the possibility of a low-grade sarcoma, the absence of marked pleomorphism, infiltrative margins and specific immunohistochemical markers confirmed a diagnosis of myofibroma, likely the 'atypical' variant. This case underscores the diagnostic complexities associated with rare paediatric mesenchymal tumours of parotid and validates the necessity of precise clinicopathological correlation.