Erkan Alper Nabi, Bal Nebil, Caylakli Fatma, Kiroğlu Fikret
Department of Otolaryngology, Başkent University, Adana Training and Research Center, Adana, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2007;17(3):167-70.
Epithelial-myoepithelial carcinomas are rare, low-grade, malignant salivary gland tumors. They are mostly seen in the parotid gland. The submandibular gland is a rare localization. A 54-year-old woman presented with a painless lump on the left side of the neck. Examination showed a mass with smooth surface in the left submandibular region. Fine needle aspiration cytology of the mass was reported as malignant epithelial tumor metastasis. Computed tomography of the neck showed left submandibular gland hypertrophy. Left submandibular gland excision with functional neck dissection was performed. The histopathological diagnosis was epithelial-myoepithelial carcinoma of the submandibular gland with one lymph node metastasis.
上皮-肌上皮癌是罕见的、低级别恶性唾液腺肿瘤。它们大多见于腮腺。下颌下腺是罕见的发病部位。一名54岁女性因左侧颈部无痛性肿块就诊。检查发现左侧下颌下区有一表面光滑的肿块。肿块的细针穿刺细胞学检查报告为恶性上皮性肿瘤转移。颈部计算机断层扫描显示左侧下颌下腺肥大。遂行左侧下颌下腺切除并功能性颈清扫术。组织病理学诊断为下颌下腺上皮-肌上皮癌伴一处淋巴结转移。