PMC509249_01
Photomicrograph showing small darkly stained cells with scanty cytoplasm arranged in nests fenestrated by round or oval spaces - cribriform pattern, H & E (x 100)
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F1
Histopathology revealed ACC with cribriform pattern and perineural invasion (Figure 1). 60 Gy adjuvant external beam radiotherapy was administered post-operatively to the parotid area and the neck.
Abdominal ultrasound showing multiple hypoechoiec (short arrow) and hyperechoeic lesions (long arrow) in the liver
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F2
Ultrasonography (US) of the abdomen revealed multiple metastatic lesions scattered in both lobes (Figure 2).
FNAC liver showing metastatic ACC, H & E (x 400)
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F3
Liver function tests were normal and an US guided FNAC revealed metastatic ACC (Figure 3).