55-year.old female, rheumatoid arthritis, keratoconjunctivitis sicca,
xerostomia and painless bilateral swelling of the parotid gland.
Excision of the parotids.
- Extensive lymphocytic infiltration of the gland
- Extensive destruction of the parenchyma with essentially full
loss of gland acini
- Proliferation of the canaliculi with development of epithelial
islands (proliferating canaliculi as well as little remaining parenchyma.