Abstract
Epithelial–myoepithelial carcinoma is a well differentiated malignant neoplasm, which originates from the salivary glands. The primary pulmonary manifestation is rare—about 30 cases have been reported worldwide. In the literature, anatomical resection has been described as the standard surgical approach. In the presented case, a wedge resection was performed, with no evidence for tumor relapse in the follow-up reevaluation after 24 months. This is the first case report of a primary pulmonary epithelial–myoepithelial carcinoma that has been treated with a non-anatomical wedge resection and lymph node dissection as a curative approach.
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Abbreviations
- CK-7:
-
Cytokeratin 7
- H&E:
-
Hematoxylin and eosin
- Ki67:
-
Ki-67 protein, name is derived from the city of origin (Kiel, Germany)
- p63:
-
Tumor protein p63
- PCR:
-
Polymerase chain reaction
- S-100:
-
S-100-protein
- SMA:
-
Alpha-smooth muscle actin
- TTF-1:
-
Thyroid transcription factor-1
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Acknowledgements
Data material from computed tomography with permission of Radprax Institute Solingen.
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The authors declare, that there is no conflict of interest according to the guidelines of the International Committee of Medical Journal Editors.
Joint first authorship
Lars Hagmeyer (Solingen, Germany) and Lars Tharun (Cologne, Germany) contributed equally to the work. The patient was admitted to the Hospital in Solingen for the diagnosis of suspected lung cancer. All the preoperative clinical diagnostic procedures and the postoperative follow-up visits were performed in Solingen under the guidance of Lars Hagmeyer. The pathological analysis of the resected tumor was performed at the pathological Institute in Cologne by Lars Tharun. Both authors, Lars Hagmeyer and Lars Tharun, contributed equally to the analysis and interpretation of the data as well as to the writing of the manuscript.
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Hagmeyer, L., Tharun, L., Schäfer, S.C. et al. First case report of a curative wedge resection in epithelial–myoepithelial carcinoma of the lung. Gen Thorac Cardiovasc Surg 65, 535–538 (2017). https://doi.org/10.1007/s11748-017-0796-7
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DOI: https://doi.org/10.1007/s11748-017-0796-7