“…According to the World Health Organization (WHO) classification [12], three different subtypes of malignant mixed tumours can be identified: carcinoma ex-pleomorphic adenoma, metastasizing mixed tumor, and carcinosarcoma [13, 14]. In carcinoma ex-pleomorphic adenoma, the epithelial component only becomes malignant (thus developing an adenocarcinoma), while in metastasizing mixed tumor and carcinosarcoma, or true malignant mixed tumor, there is a dual malignant component (carcinomatous and sarcomatous) which are therefore considered biphasic [15, 16].…”