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Salivary gland myoepithelial carcinoma

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Abstract

Salivary gland myoepithelial carcinoma (MC) or malignant myoepithelioma is a rare entity. MC usually presents as a slow-growing painless mass arising in the parotid gland, but may involve other salivary glands. This tumour may be particularly locally aggressive, but its clinical and biological features are not yet fully understood. MC may arise from pre-existing benign lesions, such as pleomorphic adenomas or benign myoepitheliomas, or may arise de novo. It usually affects patients over 50 years old, with no gender preference. Because it is often asymptomatic, the presentation and diagnosis can be delayed by months, even years. The current WHO classification considers MC to be an intermediate- to high-grade malignancy. Other published data suggest it is likely to be a high-grade neoplasm, consistent with its aggressive behaviour. Its epidemiology, histopathological features, immunohistochemical profile, clinical behaviour and optimal management are not well understood. Following review of the current literature we aim to address these.

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References

  1. Ramachandran K, Venugopal M, Suma R, Naseer KC. Malignant myoepithelioma of the parapharyngeal space—a case report. Indian J Otolaryngol Head Neck Surg. 2008;60(2):174–6.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  2. Seifert G, Sobin LH. The World Health Organization histological classification of salivary gland tumors. A commentary on the second edition. Cancer. 1992;70:379–85.

    Article  CAS  PubMed  Google Scholar 

  3. Tuncel U, Gulusam E, Samet Ozlugedik AU. Myoepithelial carcinoma in the nasopharynx: an unusual localization. Yonsei Med J. 2004;45(1):161–5.

    Article  PubMed  Google Scholar 

  4. Dhawan A, Shenoy A, Sriprakash D. Myoepithelial carcinoma of the nasopharynx: case report of a rare entity. Natl J Maxillofac Surg. 2011;2(2):207–9.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Nagao T, Sugano I, Ishida Y. Salivary gland malignant myoepithelioma. A clinicopathologic and immunohistochemical study of ten cases. Cancer. 1998;83(7):1292–9.

    Article  CAS  PubMed  Google Scholar 

  6. Savera AT, Sloman A, Huvos AG, Klimstra DS. Myoepithelial carcinoma of the salivary glands: a clinico-pathologic study of 25 patients. Am J Surg Pathol. 2000;24(6):761–74.

    Article  CAS  PubMed  Google Scholar 

  7. Sheldon WH. So-called mixed tumours of the salivary glands. Arch Pathol. 1943;35:1–20.

    Google Scholar 

  8. Stromeyer FW, Haggitt RC, Nelson JF, Hardmana JM. Myoepithelioma of minor salivary gland origin. Arch Patol. 1975;99:242–5.

    CAS  Google Scholar 

  9. Yu G, Ma D, Sun K, Li T, Zhang Y. Myoepithelial carcinoma of the salivary glands: behaviour and management. Chin Med J. 2003;116(2):163–5.

    PubMed  Google Scholar 

  10. Saliba I, El Khatib N, Nehme A, Nasser S, Moukarzel N. Metastatic parotid myoepithelial carcinoma in a 7-year-old boy. Case Rep Pediatr. 2012;2012:212746.

    PubMed Central  PubMed  Google Scholar 

  11. Gleason BC, Fletcher CD. Myoepithelial carcinoma of soft tissue in children: an aggressive neoplasm analyzed in a series of 29 cases. Am J Surg Pathol. 2007;31(12):1813–24.

    Article  PubMed  Google Scholar 

  12. Moriniere S, Robier A, Machet MC, Beutter P, Lescanne E. Massive infra-clinic invasion of the facial nerve by a myoepithelial carcinoma of the parotid. Int J Pediatr Otorhinolaryngol. 2003;67(6):663–7.

    Article  PubMed  Google Scholar 

  13. Di Palma S, Guzzo M. Malignant myoepithelioma of salivary glands: clinicopathological features of ten cases. Virchows Arch. 1993;423(5):389–96.

    Article  Google Scholar 

  14. Bisogno G, Tagarelli A, Schiavetti A, Scarzello G, Ferrar A, Cecchetto G, Alaggio R. Myoepithelial carcinoma treatment in children: a report from the TREP project. Pediatr Blood Cancer. 2014;61(4):643–6.

    Article  PubMed  Google Scholar 

  15. Lu RH, Tang ZG, Su T, Quan HZ, Zhu WY Gan PP. Myoepithelial carcinoma of salivary glands: a clinical analysis of 13 cases. Shanghai Kou Qiang Yi Xue. 2011;20(6):615–618.

  16. Takayama O, Yokoyama J, Ito S. Therapeutic experience of recurrent myoepithelial carcinoma by superselective intra-arterial chemotherapy infused high-dose CDDP. Auris Nasus Larynx. 2006;33(2):235–8.

    Article  PubMed  Google Scholar 

  17. Michal M, Skalova A, Simpson RH, Rychterova V, Leivo I. Clear cell malignant myoepithelioma of the salivary glands. Histopathology. 1996;28:309–15.

    Article  CAS  PubMed  Google Scholar 

  18. Kane SV, Bagwan IN. Myoepithelial carcinoma of the salivary glands: a clinicopathologic study of 51 cases in a tertiary cancer center. Arch Otolaryngol Head Neck Surg. 2010;136(7):702–12.

    Article  PubMed  Google Scholar 

  19. Matsunaga N, Asai M. A case of huge myoepithelial carcinoma of the submandibular gland. Jpn J Clin Oncol. 2010;40(10):995.

    Article  PubMed  Google Scholar 

  20. Yang S, Li L, Zeng M, Zhu X, Zhang J, Chen X. Myoepithelial carcinoma of intraoral minor salivary glands: a clinicopathological study of 7 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;110(1):85–93.

    Article  PubMed  Google Scholar 

  21. Wiwatwongwana D, Berean KW, Dolman PJ, Rootman J, White VA. Unusual carcinomas of the lacrimal gland: epithelial-myoepithelial carcinoma and myoepithelial carcinoma. Arch Ophthalmol. 2009;127(8):1054–6.

    Article  PubMed  Google Scholar 

  22. Magliulo G, Pulice G, Fusconi M, Cuiuli G. Malignant myoepithelioma of the rhinopharynx: case report. Skull Base. 2005;15(2):113–6.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Ghosh A, Saha S, Saha VP, Sadhu A, Chattopadhyay S. Infratemporal fossa myoepithelial carcinoma—a rare case report. Oral MaxillofacSurg. 2009;13(1):59–62.

    Article  Google Scholar 

  24. Li CQ, Guo ZM, Liu WW, Zhang Q, Yang AK, Yang L. Clinical analysis of myoepithelial carcinoma of head and neck. Zhonghua Er Bi Yan Hou Jiong Wai Ke Za Zhi. 2010;45(2):124–7.

    Google Scholar 

  25. Tavassoli FA. Myoepithelial lesions of the breast: myoepitheliosis, adenomyoepithelioma, and myoepithelial carcinoma. Am J Surg Pathol. 1991;15:554–68.

    Article  CAS  PubMed  Google Scholar 

  26. Mentzel T, Requena L, Kaddu S. Cutaneous myoepithelial neoplasms: clinicopathologic and immunohistochemical study of 20 cases suggesting a continuous spectrum ranging from benign mixed tumor of the skin to cutaneous myoepithelioma and myoepithelial carcinoma. J Cutan Pathol. 2003;30:294–302.

    Article  PubMed  Google Scholar 

  27. Miyata M, Hasegawa K, Ishikawa K, Kato R, Udagawa Y, Kuroda M. Primary myoepithelial carcinoma of the vulva and review of the literature. J Obstet Gynaecol Res. 2011;37(6):617–22.

    Article  PubMed  Google Scholar 

  28. Hysi I, Wattez H, Benhamed L, Porte H. Primary pulmonary myoepithelial carcinoma. Interact CardioVasc Thorac Surg. 2011;13(2):226–8.

    Article  PubMed  Google Scholar 

  29. Hajel HB, Marsot-Dupuch K, Chabolle F. Persistent facial paralysis: contribution of imaging to identification of perineural infiltrating tumor. Ann Otolaryngol Chir Cervicofac. 1997;114(4):125–9.

    PubMed  Google Scholar 

  30. Schwartz DL, Rajendran J, Yueh B. Staging of head and neck squamous cell cancer with extended-field FDG-PET. Arch Otolaryngol Head Neck Surg. 2003;129(11):1173–8.

    Article  PubMed  Google Scholar 

  31. Nowak B, Di Martino E, Janicke S. Diagnostic evaluation of malignant head and neck cancer by F-18-FDG PET compared to CT/MRI. Nuklearmedizin. 1999;38(8):312–8.

    CAS  PubMed  Google Scholar 

  32. Park JH, Choi JY, Hong R, Do NY. Clear cell myoepithelial carcinoma in the base of the tongue: case report and review of the literature. Oncol Lett. 2012;4(6):1241–3.

    PubMed Central  PubMed  Google Scholar 

  33. Sternberg SS. Diagnostic surgical pathology. 3rd ed. New York: Lippincott Williams & Wilkins; 1999.

    Google Scholar 

  34. Ostrowski ML, Font RL, Halpern J, Nicolitz E, Barnes R. Clear cell epithelial myoepithelial carcinoma arising in pleomorphic adenoma of the lacrimal gland. Ophthalmology. 1994;101:925–30.

    Article  CAS  PubMed  Google Scholar 

  35. Moritz C, Korth O, Tillmann A. Myoepithelial carcinoma in pleomorphic adenoma—a rarity among tumors of the parotid gland. Rofo. 2006;178(5):538–9.

    Article  CAS  PubMed  Google Scholar 

  36. Dardick I. Myoepithelioma: definitions and diagnostic criteria. Ultrastruct Pathol. 1995;19:335–45.

    Article  CAS  PubMed  Google Scholar 

  37. Chieng DC, Paulino AF. Cytology of myoepithelial carcinoma of the salivary gland. Cancer. 2002;96:32–6.

    Article  Google Scholar 

  38. Seethala RR, Barnes EL, Hunt JL. Epithelial-myoepithelial carcinoma: a review of the clinicopathologic spectrum and immunophenotypic characteristics in 61 tumors of the salivary glands and upper aerodigestive tract. Am J Surg Pathol. 2007;31(1):44–57.

    Article  PubMed  Google Scholar 

  39. Aksu G, Karadeniz A, Fayda M, Dizdariglu F. The effect of epithelial and myoepithelial differentiations on survival in a parotid gland undifferentiated carcinoma: case report and review of the literature. J BUON. 2003;8(4):389–92.

    CAS  PubMed  Google Scholar 

  40. 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(3):359–62.

    Article  PubMed  Google Scholar 

  41. Chow LT, Chow WH, Lee JC. Monomorphic epitheloid variant of malignant myoepithelioma of the parotid gland: cytologic features in fine needle aspiration (FNA). Cytopathology. 1996;7(4):279–87.

    Article  CAS  PubMed  Google Scholar 

  42. Mejia-Hernandez IJ, Cano-Valdez AM, De Leon-Trenado D, Luna-Ortiz K. Malignant myoepithelioma of the soft palate. Auris Nasus Larynx. 2013;40(2):231–4.

    Article  PubMed  Google Scholar 

  43. Ogawa I, Nikai H, Takata T. Clear cell tumors of minor salivary gland origin: an immunohistochemical and ultrastructural analysis. Oral Surg oral Med Oral Pathol. 1991;72:200–7.

    Article  CAS  PubMed  Google Scholar 

  44. Cassidy M, Connolly CE. Clear cell carcinoma arising in a pleomorphic adenoma of the submandibular gland. J Laryngol Otol. 1994;108:529–32.

    CAS  PubMed  Google Scholar 

  45. Klijanienko J, Micheau C, Schawaab G, Marandas P, Friedman S. Clear cell carcinoma arising in pleomorphic adenoma of the minor salivary gland. J Laryngolotol. 1989;103:789–91.

    Article  CAS  Google Scholar 

  46. Ibrahim R, Biod DJ, Sieler MW. Malignant myoepithelioma of the larynx with massive metastatic spread to liver, an ultra structural and immunocytochemical study. Ultrastrect Pathol. 1991;15:69–75.

    Article  CAS  Google Scholar 

  47. Jiang YH, Cheng B, Ge MH, Zhang G. The prognostic significance of p63 and Ki-67 expression in myoepithelial carcinoma. Head Neck Oncol. 2012;4:9.

    Article  PubMed Central  PubMed  Google Scholar 

  48. Shubhada VK, Izhar NB. Myoepithelial carcinoma of the salivary glands: a clinicopathologic study of 51 cases in a tertiary cancer center. Arc Otolaryngol Head Neck Surg. 2010;136(7):702–12.

    Article  Google Scholar 

  49. Gallo O, Franchi A, Bianchi S, Boddi V, Giannelli E, Alajmo E. p53 oncoprotein expression in parotid gland carcinoma is associated with clinical outcome. Cancer. 1995;75:2037–44.

    Article  CAS  PubMed  Google Scholar 

  50. Klumpp TR, Mohr RM, Silverman CL, Tang CK, Elfenbein IB, Dardick I. Malignant myoepithelioma of the parotid gland: case report and review of the literature. J LaryngolOtol. 1995;109(10):995–8.

    CAS  Google Scholar 

  51. He DQ, Hua CG, Tang XF, Feng Y. Cutaneous metastasis from a parotid myoepithelial carcinoma: a case report and review of the literature. J Cutan Pathol. 2008;35(12):1138–43.

    Article  PubMed  Google Scholar 

  52. Mizokami H, Inokuchi A, Sawatsubashi M, Takagi S, Tsuda K, Tokunaga O. Adenoid cystic carcinoma of the lacrimal gland with wide and severe myoepithelial differentiation. Auris Nasus Larynx. 2002;29(1):77–82.

    Article  PubMed  Google Scholar 

  53. Piana S, Cavazza A, Pedroni C, Scotti R, Serra L, Gardini G. Dedifferentiated acinic cell carcinoma of the parotid gland with myoepithelial features. Arch Pathol Lab Med. 2002;126(9):1104–5.

    PubMed  Google Scholar 

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Acknowledgments

Acknowledgements to Mrs. Joanne Ashton, ENT CNS at Blackpool Victoria Hospital. For her support in this paper. And the most important, being a nice person.

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Vilar-González, S., Bradley, K., Rico-Pérez, J. et al. Salivary gland myoepithelial carcinoma. Clin Transl Oncol 17, 847–855 (2015). https://doi.org/10.1007/s12094-015-1329-4

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