Fine Needle Aspiration Cytology of Malignant Myoepithelioma of the Salivary Gland: A Case Report.
- Author:
Jae Hwa LEE
1
;
Jean Kyung PARK
;
Bang HUR
Author Information
1. Department of Pathology, Kosin University College of Medicine, Busan, Korea. patholee@hananet.net
- Publication Type:Case Report
- Keywords:
Fine needle aspiration cytology (FNAC);
Parotid gland;
Malignant myoepithelioma
- MeSH:
Actins;
Adenoma, Pleomorphic;
Biopsy, Fine-Needle*;
Carcinoma;
Cytoplasm;
Humans;
Middle Aged;
Myoepithelioma*;
Parotid Gland;
S100 Proteins;
Salivary Gland Neoplasms;
Salivary Glands*;
Vimentin
- From:Korean Journal of Cytopathology
2002;13(1):28-32
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Malignant myoepithelioma (myoepithelial carcinoma), is a very rare malignant epithelial neoplasm accounting for less than 1% of all salivary gland tumors and has an intermediate malignant potential. We report a case of malignant myoepithelioma arising in the left parotid gland in a 54-year-old man, which was difficult to differentiate from pleomorphic adenoma and other malignant salivary gland neoplasms. Fine needle aspiration cytology of the parotid gland showed cellular smear, composed of overlapped sheets and clusters or individually scattered tumor cells without any acinic or ductal structures. The tumor cells were rather uniform, with distinct cell borders and moderate amount of cytoplasm. The eccentrically located nuclei were oval to round and pleomorphic and showed prominent nucleoli. A few clear cells were noted in the cellular aggregates. Metachromatic matrix was seen between individual tumor cells in a lacelike fashion, resembling pleomorphic adenoma. According to the immunohistochemical staining, we recognized that the component cells are myoepithelial in nature, showing reactivity for the S-100 protein, vimentin, and actin.
