“…Additional cases of carcinosarcoma (Tortoledo et al, 1984;Talmi et al, 1990;Cherian et al, 1992), metastasizing mixed tumor (Freeman et al, 1990;Sim et al, 1990;Pitman et al, 1992), and carcinoma in mixed tumor (Tortoledo et al, 1984) were further reported.The frequency of carcinosarcoma, and carcinoma in mixed tumor, was reported to be 0.2% (Tortoledo et al, 1984), and 2.1% (Moberger and Eneroth, 1968), respectively. Moberger and Eneroth (l968) further reported that distant metastases were present in 28.1% of all carcinoma in mixed tumor cases, but that no pleomorphic structures were demonstrable in the metastatic lesions.They further pointed out the difficulty of evaluating cellular atypia as a marker of malignancy in pleomorphic adenoma, and also that the lack of sharp delimitation and absence of a capsule may give a false impression of infiltration.…”