Goodwin C Rory, Khattab Mohamed H, Sankey Eric W, Crane Genevieve M, McCarthy Edward F, Sciubba Daniel M
Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA.
Department of Pathology, The Johns Hopkins University, Baltimore, MD, USA.
J Clin Neurosci. 2016 Feb;24:143-6. doi: 10.1016/j.jocn.2015.07.014. Epub 2015 Oct 21.
Epithelial-myoepithelial carcinoma (EMC) is a very rare salivary gland malignancy accounting for less than 1% of salivary gland tumors, and classically arises from the parotid gland in females. Spinal cord compression caused by EMC metastasized from the parotid gland has only been described once in the literature to our knowledge. We report the first case of a patient with parotid EMC spinal metastasis undergoing a gross total resection with instrumented fusion. This case illustrates that an en bloc resection with a planned transgression through the spinal canal may be a reasonable option for EMC metastasized to the spine.