Skip to main content

Advertisement

Log in

Magnetic resonance imaging of myoepithelioma in the salivary glands

  • Case Report
  • Published:
Oral Radiology Aims and scope Submit manuscript

Abstract

Myoepithelioma is a rare benign tumor composed of cells showing myoepithelial differentiation and accounts for only 1.5 % of all tumors in the major and minor salivary glands. Herein, we report the magnetic resonance imaging (MRI) findings, including dynamic contrast-enhanced MRI (DCE-MRI) and diffusion-weighted MRI (DW-MRI), of two cases of myoepithelioma occurring in the salivary glands of the floor of the mouth and the hard palate. Both tumors were seen as well-defined ovoid masses with low or intermediate signal intensity on T1-weighted images, and inhomogeneous high signal intensity areas on T2-weighted images, whereas inhomogeneous enhancement was seen on post-contrast T1-weighted images. On DCE-MRI, both tumors showed a time–intensity curve of early enhancement and a low washout pattern (plateau enhancement pattern). Their apparent diffusion coefficients measured on DW-MRI were both relatively low (1.12 × 10−3 and 0.76 × 10−3 mm2/s). The findings for these two myoepitheliomas on DCE-MRI and DW-MRI were dissimilar to those in previous reports.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Barnes L, Eveson JW, Reichart P, Sindransky D, editors. World Health Organization classification of tumours: pathology and genetics of head and neck tumours. Lyon: IARC; 2005. p. 259–60.

    Google Scholar 

  2. Habermann CR, Arndt C, Graessner J, Diestel L, Petersen KU, Reitmeier F, et al. Diffusion-weighted echo-planar MR imaging of primary parotid gland tumors: is a prediction of different histologic subtypes possible? AJNR Am J Neuroradiol. 2009;30:591–6.

    Article  PubMed  Google Scholar 

  3. Yabuuchi H, Fukuya T, Tajima T, Hachitanda Y, Tomita K, Koga M. Salivary gland tumors: diagnostic value of gadolinium-enhanced dynamic MR imaging with histopathologic correlation. Radiology. 2003;226:345–54.

    Article  PubMed  Google Scholar 

  4. Katsuyama E, Kaneoka A, Higuchi K. Myoepithelioma of the soft palate. Arch Cytologica. 1997;41:1856–8.

    Google Scholar 

  5. Nayak JV, Molina JT, Smith JC, Branstetter BF 4th, Hunt JL, Snyderman CH. Myoepithelial neoplasia of the submandibular gland: case report and therapeutic considerations. Arch Otolaryngol Head Neck Surg. 2003;129:359–62.

    PubMed  Google Scholar 

  6. Isogai R, Kawada A, Ueno K, Aragane Y, Tezeka T. Myoepithelioma possibly originating from the accessory parotid gland. Dermatology. 2004;208:74–8.

    Article  PubMed  Google Scholar 

  7. Dardick I, van Nostrand AWP, Phillips MJ. Histogenesis of salivary gland pleomorphic adenoma (mixed tumor) with an evaluation of the role of the myoepithelial cell. Hum Pathol. 1982;13:62–75.

    Article  PubMed  Google Scholar 

  8. Hiwatashi A, Matsumoto S, Kamoi I, Yamashita H, Nakashima A. Imaging features of myoepithelioma arising from the hard palate. A case report. Acta Radiol. 2000;41:417–9.

    PubMed  Google Scholar 

  9. Monzen Y, Fukushima N, Fukuhara T. Myoepithelioma and malignant myoepithelioma arising from the salivary gland: computed tomography and magnetic resonance findings. Australas Radiol. 2007;51:169–72.

    Article  Google Scholar 

  10. Freling NJ, Molenaar WM, Vermey A, Mooyaart EL, Panders AK, Annyas AA, et al. Malignant parotid tumors: clinical use of MR imaging and histologic correlation. Radiology. 1992;185:691–6.

    PubMed  Google Scholar 

  11. Joe VQ, Westesson PL. Tumors of the parotid gland: MR imaging characteristics of various histologic types. AJR Am J Roentgenol. 1994;163:433–8.

    PubMed  Google Scholar 

  12. Yabuuchi H, Matsuo Y, Kamitani T, Setoguchi T, Okafuji T, Soeda H, et al. Parotid gland tumors: can addition of diffusion-weighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology. 2008;249:909–16.

    Article  PubMed  Google Scholar 

  13. Habermann CR, Gossrau P, Graessner J, Arndt C, Cramer MC, Reitmeier F, et al. Diffusion-weighted echo-planar MRI: a valuable tool for differentiating primary parotid gland tumors? Rofo. 2005;177:940–5.

    Article  PubMed  Google Scholar 

  14. Eida S, Sumi M, Sakihama N, Takahashi H, Nakamura T. Apparent diffusion coefficient mapping of salivary gland tumors: prediction of the benignancy and malignancy. AJNR Am J Neuroradiol. 2007;28:116–21.

    PubMed  Google Scholar 

  15. Ikeda M, Motoori K, Hanazawa T, Nagai Y, Yamamoto S, Ueda T, et al. Warthin tumor of the parotid gland: diagnostic value of MR imaging with histopathologic correlation. AJNR Am J Neuroradiol. 2004;25:1256–62.

    PubMed  Google Scholar 

  16. Gupta RK, Cloughesy TF, Sinha U, Garakian J, Lazareff J, Rubino G, et al. Relationships between choline magnetic resonance spectroscopy, apparent diffusion coefficient and quantitative histopathology in human glioma. J Neurooncol. 2000;50:215–26.

    Article  PubMed  Google Scholar 

  17. Guo AC, Cummings TJ, Dash RC, Provenzale JM. Lymphomas and high-grade astrocytomas: comparison of water diffusibility and histologic characteristics. Radiology. 2002;224:177–83.

    Article  PubMed  Google Scholar 

  18. Lyng H, Haraldseth O, Rofstad EK. Measurement of cell density and necrotic fraction in human melanoma xenografts by diffusion weighted magnetic resonance imaging. Magn Reson Med. 2000;43:828–36.

    Article  PubMed  Google Scholar 

  19. Matsuzaki H, Yanagi Y, Hara M, Katase N, Asaumi JI, Hisatomi M, et al. Minor salivary gland tumors in the oral cavity: diagnostic value of dynamic contrast-enhanced MRI. Eur J Radiol. 2012;81:2684–91.

    Article  PubMed  Google Scholar 

  20. Murakami T, Nakamura H, Tsuda K, Ishida T, Tomoda K, Hori S, et al. Contrast-enhanced MR imaging of intra-hepatic cholangioma: pathologic correlation study. J Magn Reson Imaging. 1995;5:165–70.

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ami Kuribayashi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kuribayashi, A., Imaizumi, A., Tetsumura, A. et al. Magnetic resonance imaging of myoepithelioma in the salivary glands. Oral Radiol 29, 87–91 (2013). https://doi.org/10.1007/s11282-012-0109-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11282-012-0109-x

Keywords

Navigation