Skip to main content

Advertisement

SpringerLink
Log in

Epithelial-myoepithelial carcinoma of the parotid gland: correlation of dynamic magnetic resonance imaging, 18F-fluorodeoxyglucose-positron emission tomography, and pathological findings

  • Case Report
  • Published:
Japanese Journal of Radiology Aims and scope Submit manuscript

Abstract

We encountered two cases of epithelialmyoepithelial carcinoma (EMC), a rare low-grade malignant tumor of the parotid gland. These two EMCs showed similar imaging findings: gradual contrast enhancement on dynamic magnetic resonance imaging (MRI), intense 18F-fluorodeoxyglucose (FDG) uptake in the solid tumor portion, and little enhancement and little FDG uptake in the hemorrhagic necrotic tumor portion. When a parotid gland tumor shows gradual MRI contrast enhancement and focally intense FDG uptake, EMC should be included in the differential diagnosis.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ellis GL, Auclair PL. Epithelial-myoepithelial carcinoma. In: Rosai J, editor. Atlas of tumor pathology. 3rd edn. Washington, DC: Armed Forces Institute of Pathology; 1996. p. 268–281.

    Google Scholar 

  2. Silvers AR, Som PM, Brandwein M. Epithelial-myoepithelial carcinoma of the parotid gland. AJNR Am J Neuroradiol 1996;17:560–562.

    CAS  PubMed  Google Scholar 

  3. Piscioli I, Morelli L, Falzone A, Del Nonno F, Neri M, Di Rocco ZC, et al. Epithelial-myoepithelial carcinoma of the parotid gland, unusual malignancy radiologically simulating a benign lesion: case report. Int Semin Surg Oncol 2007;4:25.

    Article  PubMed  Google Scholar 

  4. Yamada H, Kawaguchi K, Yagi M, Morita Y, Mishima K, Uno K, et al. Epithelial-myoepithelial carcinoma of the submandibular gland with a high uptake of 18F-FDG: a case report and image diagnosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:243–248.

    Article  PubMed  Google Scholar 

  5. 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;226:345–354.

    Article  PubMed  Google Scholar 

  6. Yabuuchi H, Matsuo Y, Kamitani T, Setoguchi T, Okafuji T, Soeda H, et al. Parotid gland tumors: can addition of diffusionweighted MR imaging to dynamic contrast-enhanced MR imaging improve diagnostic accuracy in characterization? Radiology 2008;249:909–916.

    Article  PubMed  Google Scholar 

  7. Eida S, Ohki M, Sumi M, Yamada T, Nakamura T. MR factor analysis: improved technology for the assessment of 2D dynamic structures of benign and malignant salivary gland tumors. J Magn Reson Imaging 2008;27:1256–1262.

    Article  PubMed  Google Scholar 

  8. Motoori K, Yamamoto S, Ueda T, Nakano K, Muto T, Nagai Y, et al. Inter- and intratumoral variability in magnetic resonance imaging of pleomorphic adenoma: an attempt to interpret the variable magnetic resonance findings. J Comput Assist Tomogr 2004;28:233–246.

    Article  PubMed  Google Scholar 

  9. Tsushima Y, Matsumoto M, Endo K. Parotid and parapharyngeal tumours: tissue characterization with dynamic magnetic resonance imaging. Br J Radiol 1994;67:342–345.

    Article  CAS  PubMed  Google Scholar 

  10. Motoori K, Iida Y, Nagai Y, Yamamoto S, Ueda T, Funatsu H, et al. MR imaging of salivary duct carcinoma. AJNR Am J Neuroradiol 2005;26:1201–1206.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima, 890-8544, Japan

    Koji Takumi, Yoshihiko Fukukura, Takuro Kamiyama & Masayuki Nakajo

  2. Department of Otolaryngology, Head, and, Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan

    Junichiro Ohori & Yuichi Kurono

  3. Department of Human Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan

    Michiyo Higashi

Authors
  1. Koji Takumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yoshihiko Fukukura
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Takuro Kamiyama
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Masayuki Nakajo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Junichiro Ohori
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Yuichi Kurono
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Michiyo Higashi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Koji Takumi.

About this article

Cite this article

Takumi, K., Fukukura, Y., Kamiyama, T. et al. Epithelial-myoepithelial carcinoma of the parotid gland: correlation of dynamic magnetic resonance imaging, 18F-fluorodeoxyglucose-positron emission tomography, and pathological findings. Jpn J Radiol 28, 618–622 (2010). https://doi.org/10.1007/s11604-010-0468-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-010-0468-3

Key words

Search

Navigation