PMC3985802_01
a Intermediate-power examination of the recurrent salivary gland tumor in the left neck (H&E. x100). The tumor cells are relatively monotonous, show round to oval nuclei, and basophilic granular cytoplasm, characteristic of well-differentiated AcCC. b Intermediate-power examination of the metastatic salivary gland tumor in the head of the pancreas (H&E. x100). Similar to the primary salivary gland tumor, the tumor cells are relatively monotonous and exhibit basophilic granular cytoplasm that is characteristic of well-differentiated AcCC.
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F1
On August 29, 2011, the patient had a wide local excision of a locally recurrent AcCC measuring 1.5 x 1.3 x 1.1 cm (fig. 1a). Microscopic examination revealed a 3.0-cm lobulated neoplasm set within a bed of desmoplastic stroma of the pancreatic neck (fig. 1b).
An MRI scan with and without gadolinium with the arrow indicating a 9-mm hypoenhancing lesion in the pancreas.
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F2
August 2012, the patient was admitted to a local hospital for epigastric pain, nausea, and vomiting, and was diagnosed with acute pancreatitis. An outside MRI scan of the abdomen revealed a mass in the head of the pancreas (fig. 2).