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JPTM > Volume 52(2); 2017 > Article
Journal of Pathology and Translational Medicine 2017;52(2): 136-139.
doi: https://doi.org/10.4132/jptm.2017.07.27
Fine-Needle Aspiration Cytology of Carcinosarcoma in the Salivary Gland: An Extremely Rare Case Report
Hyo Jung An1, Hye Jin Baek2,3,4, Jin Pyeong Kim2,3,5, Min Hye Kim6, Dae Hyun Song1,2,3
1Deparment of pathology, Gyeongsang National University Changwon Hospital, Changwon, Korea
2Gyeongsang National University School of Medicine, Jinju, Korea
3Gyeongsang Institute of Health Science, Jinju, Korea
4Department of Radiology, Gyeongsang National University Changwon Hospital, Changwon, Korea
5Department of Otorhinolaryngology, Gyeongsang National University Changwon Hospital, Changwon, Korea
6Department of pathology, Gyeongsang National University Hospital, Jinju, Korea
Corresponding Author: Dae Hyun Song ,Tel: +82-55-214-3150, Fax: +82-55-214-3174, Email: golgy@hanmail.net
Received: May 25, 2017;  Revised: July 11, 2017  Accepted: July 25, 2017.  Published online: December 28, 2017.
Carcinosarcoma of the salivary gland is an extremely rare tumor that is composed of both malignant epithelial and mesenchymal components. Diagnosing carcinosarcoma with fine-needle aspiration cytology is challenging because of its overlapping cytomorphologic characteristics with other high-grade malignant salivary gland tumors. Among the many features, including pleomorphic oncocytoid epithelial components, necrotic background, and mitoses, recognizing the singly scattered atypical spindle cells is most essential in carcinosarcoma. We present a case of a 66-year-old male patient with characteristic features of carcinosarcoma, who was successfully treated by wide local excision and subsequent radiation therapy.
Key Words: Carcinosarcoma; Salivary glands; Biopsy, fine-needle