Central mucoepidermoid carcinoma arising in mandible with multiple metastases.
- Author:
Byung Chun SOH
1
;
Young Ho LEE
;
Soon Chul CHOI
;
Tae Won PARK
;
Dong Soo YOU
Author Information
1. Department of Oral and Maxillofacial radiology, College of Dentistry, Seoul National University, Korea.
- Publication Type:Original Article
- MeSH:
Carcinoma, Mucoepidermoid*;
Fistula;
Humans;
Lymph Nodes;
Magnetic Resonance Imaging;
Male;
Mandible*;
Middle Aged;
Molar;
Mucins;
Neoplasm Metastasis*;
Ribs;
Scalp;
Scapula;
Suppuration
- From:Journal of Korean Academy of Oral and Maxillofacial Radiology
1997;27(1):263-272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors diagnosed a 54-year-old male as central mucoepidermoid carcinoma after undegoing clinical, radiologica l and histopathological examinations. The charateristics were as followed : 1. Clinically, the patient complained of the painless unilateral swelling of the left mandibular molar region and had a pus discharge through the fistula. Painful nodule was palpated on the scalp of the left frontal area and it was regarde d as a metastatic lesion. 2. Plain radiographs showed the ill-defined permeative radiolucent lesion. The osteolytic lesions were also detected in the cranial bone, number 9 and 11 ribs, scapula, and vertebral bodies. 3. The mandibular CT and PNS MRI showed the swelling of the left mandible and the enlargement of the several lymph node s of 1.5 cm in size. 4. Histopathologically, many solid epidermoid type cells were mixed with mucus-secreting cells and they were arranged i n duct-like structure. Most of them were epidermoid type, which indicates a high grade tumor. Mucins could be found in mucicarmine staining.
