Fig. 5.
Postirradiation alterations include sialometaplasia that may histologically simulate squamous cell carcinoma. (a) At low magnification there is retention of the lobular architecture of the minor salivary glands, a key feature in trying to decide if there is or is not squamous cell carcinoma. (b) Only viewing the lesion at higher magnification may result in a diagnosis of carcinoma rather than sialometaplasia