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The expression of Notch in 30 cases of pleomorphic adenoma was examined by immunohistochemistry. Comparing the results of our study with previous literatures, from the partial CK7
expression and substantial Notch expression in ductal epithelial cells as well as the Notch expression in solid tumor nests, it can be inferred that Notch is involved in cell differentiation. CK13
expression was observed in cells undergoing squamous metaplasia and Notch expression was seen
in the nucleus of basal and squamous cells. The intense Notch expression in basal cells and weak
expression in squamous cells suggests that Notch is involved in the differentiation from basal to
squamous cell. Moreover, the loss of nuclear expression on the inner layer would signify that
differentiation is about to end or has been terminated. Notch was expressed in the cytoplasm of
cartilage cells and in the cell membrane of mucous cells but not in the nucleus indicating that
differentiation has been concluded. Notch involvement is suspected in cell differentiation in areas
showing ductal structures and squamous metaplasia. In summary, Notch is involved in cell differentiation of ductal cells in PA. Nuclear expression was shown in tumor cells in solid nests and
surrounding structures. Moreover, Notch is expressed by basal cells undergoing squamous
metaplasia suggesting the participation of Notch in cell differentiation in PA.