Abstract
Clear cell changes may be observed in virtually any benign or malignant tumor of epithelial, mesenchymal, melanocytic and hematopoeitic derivation not be attributed to variable etiologies. In general, benign and malignant clear cell neoplasms of the head and neck are rare. They may involve various regions and may be of diverse derivations, with only 1–2% of tumors of the salivary glands, jaws and oral mucosa are primarily or almost exclusively composed of clear cells (Maiorano et al., Semin Diagn Pathol 14:203–212, 1997). This review will selectively discuss the clinicopathological features of salivary gland tumors with clear cell changes, which, at times, may pose a diagnostic challenge and dilemma.
Similar content being viewed by others
References
Maiorano E, Altini M, Favia G. Clear cell tumors of the salivary glands, jaws, and oral mucosa. Semin Diagn Pathol. 1997;14:203–12.
Nappi O, Mills SE, Swanson PE, Wick MR. Clear cell tumors of unknown nature and origin. A systematic approach to diagnosis. Semin Diagn Pathol. 1997;14:164–74.
Swanson PE. Clear cell tumors of bone. Semin Diagn Pathol. 1997;14:281–91.
Brookstone MS, Huvos AG. Central salivary gland tumors of the maxilla and mandible: a clinicopathologic study of 11 cases with an analysis of the literature. J Oral Maxillofac Surg. 1992;50:229–36.
Miller AS, Winnick M. Salivary gland inclusion in the anterior mandible (report of a case with a review of the literature on aberrant salivary gland tissue and neoplasms). Oral Surg Oral Med Oral Pathol. 1971;31:790–7.
Warnock GR, Jensen JL, Kratochvil FJ. Developmental disease. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical pathology of the salivary glands. Philadelphia, PA: Saunders; 1991. p. 10–25.
Peters BR, Maddox HE, Batsakia JG. Pleomorphic adenoma of the middle ear and mastoid with posterior fossa extension. Arch Otolaryngol Head Neck Surg. 1988;114:676–8.
Feigin GA, Robinson B, Marchevsky A. Mixed tumor of the mediastinum. Arch Pathol Lab Med. 1986;110:80–1.
Caironi C, Re S, Canali B. Mixed tumor of an ectopic salivary gland (presentation of a case). Minerva Chir. 1981;36:621–4.
Brookstone MS, Huvos AG, Spiro RH. Central adenoid cystic carcinoma of the mandible. J Oral Maxillofac Surg. 1990;48:1329–33.
Martinez-Madrigal F, Pineda-Daboin K, Casiraghi O, Luna MA. Salivary gland tumors of the mandible. Ann Diagn Pathol. 2000;4:347–53.
Berho M, Huvos AG. Central hyalinizing clear cell carcinoma of the mandible and the maxilla a clinicopathologic study of two cases with an analysis of the literature. Hum Pathol. 1999;30:101–5.
Seifert G. Classification and differential diagnosis of clear and basal cell tumors of the salivary glands. Semin Diagn Pathol. 1996;13:95–103.
Eversole LR. On the differential diagnosis of clear cell tumors of the head and neck. Oral Oncol Eur J Cancer. 1993;29b(3):173–9.
Ellis GL. Clear cell neoplasms in salivary glands: clearly a diagnostic challenge. Ann Diagn Pathol. 1998;2:61–78.
Ellis GL, Auclair PL. Tumors of the salivary glands. In: Ellis GL, Auclair PL, editors. Atlas of tumor pathology. 3rd series, fascicle 17. Washington, D.C.: Armed Forces Institute of Pathology; 1996. p. 318–24.
Ellis GL. “Clear cell” oncocytoma of salivary gland. Hum Pathol. 1988;19:862–7.
Spiro RH. Salivary neoplasms: overview of a 35-year experience with 2,807 patients Head Neck Surg. 1986;8:177–84.
Vara A, Madrigal B, Pérez del Río MJ, Díaz A, Mateos A, Sales C. Parotid metastasis from renal clear cell adenocarcinoma. Urol Int. 1998;61:196–8.
Dardick I, Van Nostrand AWP. Myoepithelial cells in salivary gland tumors-revisited. Head Neck Surg. 1985;7:395–408.
Simpson RHW, Kitara-Okot P. Clear cell salivary myoepithelioma. Pathol Res Pract. 1995;191:780.
Alos L, Cardesa A, Bombi JA, et al. Myoepithelial tumors of salivary glands: a clinicopathologic, immunohistochemical, ultrastructural and flow cytometric study. Semin Diagn Pathol. 1996;13:138–47.
Savera AT, Sloman A, Huvos AG, Klimstra DS. Myoepithelial carcinoma of the salivary glands: a clinicopathologic study of 25 patients. Am J Surg Pathol. 2000;24:761–74.
Nagao T, Shugano I, Ishida Y, Tajima Y, Matsuzaki O, Konno A, et al. Salivary gland malignant myoepithelioma: a clinicopathologic and immunohistochemical study of ten cases. Cancer. 1998;83:1292–9.
Hungerman D, Roeser K, Buerger H, Jakel T, Loning T, Herbst H. Relative paucity of gross genetic alterations myoepitheliomas any myoepithelial carcinomas of salivary glands. J Pathol. 2002;198:487–94.
Di Palma S, Guzzo M. Malignant myoepithelioma of salivary glands. Clinicopathological features of ten cases. Virch Arch A Pathol Anat. 1993;423:389–96.
Zarbo RJ. Salivary gland neoplasia. A review for the practicing pathologist. Mod Pathol. 2002;15(3):298–323.
Chu W, Strawitz JG. Oncocytoma of the parotid gland with malignant change. Arch Surg. 1978;113:318–9.
Goode RK. Oncocytoma. In: Ellis GL, Auclair PL, Gnepp DR, editors. Surgical pathology of the salivary glands. Philadelphia, PA: Saunders;1991. p. 225–37.
Damm DD, White DK, Geissler RH, et al. Benign solid oncocytoma of intraoral minor salivary glands. Oral Surg Oral Med Oral Pathol. 1989;67:84–6.
Hamper K, Mausch HE, Caselitz J, et al. Multiple expression of tissue markers in mucoepidermoid carcinomas and acinic cell carcinomas of the salivary glands. Virch Arch A Pathol Anat. 1989;414:407–13.
Perzin KH, LiVolsi VA. Acinic cell carcinomas arising in salivary glands: a clinicopathologic study. Cancer. 1979;44:1434–57.
Kusama K, Saito M, Kozu M, et al. Epithelial-myoepithelial carcinoma of the palate. J Oral Pathol Med. 1996;25:463–6.
Batsakis JG, Bautina E. Metastases to major salivary glands. Ann Otol Rhinol Laryngol. 1990;99:501–3.
Stanley RJ, Weiland LH, Olsen KD, Pearson BW. Dedifferentiated acinic cell (acinous) carcinoma of the parotid gland. Otolaryngol Head Neck Surg. 1988;98:155–61.
Takahashi H, Fujita S, Okabe H, et al. Distribution of tissue markers in acinic cell carcinomas of salivary gland. Pathol Res Pract. 1992;188:692–700.
Batsakis JG, El-Naggar AK, Luna MA. Epithelial-myoepithelial carcinoma of salivary glands. Ann Otol Rhinol Laryngol. 1992;101:540–2.
Som PM, Norton KI, Shugar JM, et al. Metastatic hypernephroma to the head and neck. AJNR Am J Neuroradiol. 1987;8:1103–6.
Goldman RL, Klein HZ. Glycogen-rich adenoma of the parotid gland. An uncommon benign clear-cell tumor resembling certain clear-cell carcinomas of salivary origin. Cancer. 1972;30:749–54.
Yang B, Ali SZ, Rosenthal DL. CD10 facilitates the diagnosis of metastatic renal cell carcinoma from primary adrenal cortical neoplasm in adrenal fine-needle aspiration. Diagn Cytopathol. 2002;27:149–52.
Ingelaere P, Simpson RH, Garth RJN. Metastatic renal cell carcinoma presenting as an aural polyp. J Laryngol Otol. 1997;111:1066–8.
Boles R, Cemy J. Head and neck metastases from renal carcinomas. Mich Med. 1971;70:616–8.
Madison JF, Frierson HF Jr. Pathologic quiz case 2. Clear cell carcinoma, consistent with metastatic renal cell carcinoma. Arch Otolaryngol Head Neck Surg. 1988;114:570–1.
Acknowledgement
The authors acknowledge the generous contribution of Dr. Omar Hameed form UAB, Department of Pathology for contributing the images in Fig. 3.
Open Access
This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Said-Al-Naief, N., Klein, M.J. Clear Cell Entities of the Head and Neck: A Selective Review of Clear Cell Tumors of the Salivary Glands. Head and Neck Pathol 2, 111–115 (2008). https://doi.org/10.1007/s12105-008-0052-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12105-008-0052-7