Sandbox:DDx HEENT

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  • 50 yo women
  • Involves minor salivary glands
  • well circumscribed painless nodule in the palate or buccal mucosa


  • Cystic cavities lined by cuboidal epithelial cells
  • Intraluminal projections
  • Serous, mucinous, or papillary histology


  • Benign cystic lesion
  • Hypodense, small, rounded mass
* Locate in the mouth floor


  • Tubular, cribriform, and solid growth pattern
  • Uniform serous cells with pleomorphic nuclei and basophilic granular cytoplasms
  • Increased mitotic activity and foci of necrosis
  • Lymphoid stroma with inflammatory infiltrate
  • c-KIT mutation