Initial Diagnosis

Tumour marker Used

Diagnosis after marker study

Final Diagnosis

Inconclusive

SMA And Vimentin +ve

Leiomyosarcoma

Leiomyosarcoma

Suggestive of spindle cell neoplasm? Neurilemmoma

+ve for EMA & Focal CK

-ve for Desmin, S-100 & CD-99

Synovial cell sarcoma

Synovial cell sarcoma

Benign epithelial Neoplasm

+ve for CK, Chromogranin, Synaptophysin & bcl-2

Neuroendocrine tumours

Neuroendocrine tumours

Monomorphic salivary adenoma

+ve for CK, Chromogranin, Synaptophysin & bcl-2

Neuroendocrine tumours

Neuroendocrine tumours

Spindle cell Neoplasm

+ve for SMA & S-100

-ve for CK

Benign Myoepithelioma  of deep lobe parotid

Benign Myoepithelioma of deep lobe parotid