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Epithelial Myoepithelial Carcinoma of Parotid Gland

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Epithelial myoepithelial carcinoma (EMC) is a rare biphasic tumor of salivary glands with low malignant potential. Although known to occur in submandibular gland and minor salivary glands, its most common location is parotid. Clinical and radiological findings often mimic a benign tumor. Because of rarity of EMC a standard treatment guideline is not yet known. Surgical resection is the most widely used approach. Although it is a low grade tumor, local recurrence rates of 23–50 % have been reported with 25 % chance of distant metastasis. Patients with histo-pathologic markers of aggressive disease should be considered for adjuvant radiotherapy. We report a case of epithelial myoepithelial carcinoma of parotid in a 40 year male that was treated with surgery followed by post-operative radiotherapy.

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References

  1. Politi M, Robiony M, Avellini C, Orsaria M (2014) Epithelial–myoepithelial carcinoma of the parotid gland: clinicopathological aspect, diagnosis and surgical consideration. Ann Maxillofac Surg 4:99–102

    Article  Google Scholar 

  2. Halperin EC, Wazer DE, Parez CA, Brady LW (2013) Perez and Brady’s principles and practice of radiation oncology, 6th edn. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  3. Taş A, Yağiz R, Altaner S, Koten M, Karasalihoğlu AR (2003) A case of epithelial–myoepithelial carcinoma of the parotid gland. Kulak Burun Boğaz Ihtis Derg KBB J Ear Nose Throat 10(4):171–174

    Google Scholar 

  4. Sharma S, Patankar S (2014) An unusual case of epithelial–myoepithelial carcinoma of the parotid gland radiologically simulating a benign lesion. J Oral Maxillofac Pathol JOMFP. 18(1):118–120

    Article  Google Scholar 

  5. Simpson RH, Clarke TJ, Sarsfield PT, Gluckman PG (1991) Epithelial–myoepithelial carcinoma of salivary glands. J Clin Pathol 44(5):419–423

    Article  CAS  Google Scholar 

  6. Batsakis JG, El-Naggar AK, Luna MA (1992) Epithelial–myoepithelial carcinoma of salivary glands. Ann Otol Rhinol Laryngol 101(6):540–542

    Article  CAS  Google Scholar 

  7. Morrow TA, Chun T, Mirani N (1990) Epithelial myoepithelial carcinoma of the parotid gland. Ear Nose Throat J 69(9):646–648

    CAS  PubMed  Google Scholar 

  8. Puri T, Singh K, Sharma DN, Khurana N (2004) Epithelial–myoepithelial carcinoma of the base of tongue: pathology and management. Indian J Cancer 41(3):138–140

    PubMed  Google Scholar 

  9. Roy P, Bullock MJ, Perez-Ordoñez B, Dardick I, Weinreb I (2010) Epithelial–myoepithelial carcinoma with high grade transformation. Am J Surg Pathol 34(9):1258–1265

    Article  Google Scholar 

  10. Kusafuka K, Takizawa Y, Ueno T, Ishiki H, Asano R, Kamijo T et al (2008) Dedifferentiated epithelial–myoepithelial carcinoma of the parotid gland: a rare case report of immunohistochemical analysis and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 106(1):85–91

    Article  Google Scholar 

  11. Noel S, Brozna JP (1992) Epithelial–myoepithelial carcinoma of salivary gland with metastasis to lung: report of a case and review of the literature. Head Neck 14(5):401–406

    Article  CAS  Google Scholar 

  12. Arora SK, Sharma N, Bhardwaj M (2013) Epithelial myoepithelial carcinoma of head and neck region. Indian J Otolaryngol Head Neck Surg 65(Suppl 1):163–166

    Article  Google Scholar 

  13. Savera AT, Sloman A, Huvos AG, Klimstra DS (2000) Myoepithelial carcinoma of the salivary glands: a clinicopathologic study of 25 patients. Am J Surg Pathol 24(6):761–774

    Article  CAS  Google Scholar 

  14. Takahashi H, Fujita S, Tsuda N, Tezuka F, Okabe H (1990) Intraoral minor salivary gland tumors: a demographic and histologic study of 200 cases. Tohoku J Exp Med 161(2):111–128

    Article  CAS  Google Scholar 

  15. Cho KJ, El-Naggar AK, Ordonez NG, Luna MA, Austin J, Batsakis JG (1995) Epithelial–myoepithelial carcinoma of salivary glands. A clinicopathologic, DNA flow cytometric, and immunohistochemical study of Ki-67 and HER-2/neu oncogene. Am J Clin Pathol 103(4):432–437

    Article  CAS  Google Scholar 

  16. Tralongo V, Daniele E (1998) Epithelial–myoepithelial carcinoma of the salivary glands: a review of literature. Anticancer Res 18(1B):603–608

    CAS  PubMed  Google Scholar 

  17. Seethala RR, Barnes EL, Hunt JL (2007) Epithelial–myoepithelial carcinoma: a review of the clinicopathologic spectrum and immunophenotypic characteristics in 61 tumor of salivary glands and upper aerodigestive tract. Am J Surg Pathol 31:44–57

    Article  Google Scholar 

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Correspondence to Jaspreet Kaur.

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Chaudhari, P., Kaur, J., Nalwa, A. et al. Epithelial Myoepithelial Carcinoma of Parotid Gland. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 62–65 (2019). https://doi.org/10.1007/s12070-016-1025-x

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  • DOI: https://doi.org/10.1007/s12070-016-1025-x

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