Gonzalez Claudia C, Espaillat Lisamelia, Rosario David, Gonzalez Massiel P
Medicine, Pontificia Universidad Catolica Madre y Maestra, Santiago, DOM.
Otolaryngology - Head and Neck Surgery, Hospital Metropolitano de Santiago, Santiago, DOM.
Cureus. 2024 Feb 21;16(2):e54609. doi: 10.7759/cureus.54609. eCollection 2024 Feb.
Mucoepidermoid carcinomas (MECas) are malignant epithelial salivary gland neoplasms composed of a variable mixture of epidermoid and mucus-secreting cells arising from the ductal epithelium. Of all salivary gland tumors, MECas are the most common malignant lesions of the parotid gland. This case report aims to present a 14-year-old female patient with a history of progressive enlargement of a 3 cm in diameter, painless, mobile mass located at the parotid gland without facial nerve dysfunction. The lesion was exhaustively studied preoperatively, and studies were carried out. Contrast-enhanced computerized tomography (CECT) showed an increase in nodule numbers and size at the level of both the jugular and posterior cervical chains. In contrast, the gland's fine needle aspiration (FNA) showed a mucinous background. The histologic depiction established that the tumor was MECa of the parotid gland. The literature reviews on MECa encompass discussions about its prevalence, etiology, histological findings, and treatment.
黏液表皮样癌(MECas)是一种恶性上皮性涎腺肿瘤,由导管上皮产生的表皮样细胞和黏液分泌细胞的不同混合物组成。在所有涎腺肿瘤中,黏液表皮样癌是腮腺最常见的恶性病变。本病例报告旨在介绍一名14岁女性患者,其腮腺有一个直径3厘米、无痛、可移动的肿块,且肿块逐渐增大,无面神经功能障碍。术前对该病变进行了全面研究,并开展了相关检查。增强计算机断层扫描(CECT)显示颈静脉链和颈后链水平的结节数量和大小增加。相比之下,腺体细针穿刺抽吸活检(FNA)显示为黏液背景。组织学描述确定该肿瘤为腮腺黏液表皮样癌。关于黏液表皮样癌的文献综述涵盖了其患病率、病因、组织学表现和治疗等方面的讨论。