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To the Editor.—The article by Myers and Barnes, "Necrotizing Sialometaplasia," in the Archives (101:628-629, 1975) is a timely reminder that this distinctive lesion should be recognized by surgical pathologists and head and neck surgeons.
The lesion, however, is not limited to minor salivary tissue. It may appear in the major salivary glands as a consequence of focal, lobular sialadenitis and in specimens removed after prior surgery on the major salivary glands. We now have five such examples in our files. The histologic architecture and appearance is exactly that described for minor salivary tissue.
BATSAKIS JG. Sialometaplasia. Arch Otolaryngol. 1976;102(3):191. doi:10.1001/archotol.1976.00780080113018
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