Epithelial-myoepithelial carcinoma of the parotid gland, unusual malignancy radiologically simulating a benign lesion: Case report

Irene Piscioli, Luca Morelli, Andrea Falzone, Franca Del Nonno, Marinella Neri, Zorika Christiana Di Rocco, Alessia Catalucci, Salvatore Donato, Stefano Licci

Research output: Contribution to journalArticle

Abstract

Background: Ultrasound (US), Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) are widely used in the clinical diagnosis of parotid gland tumors and their efficacy in identifying benign lesions is well documented. However, problems arise when facing some malignant lesions. Only few cases of salivary gland low grade malignant tumors have been previously reported in the literature complete with the radiological features. Case presentation: We here describe a case of epithelial-myoepithelial carcinoma (EMC) of the parotid gland, a low grade malignant tumor, with spread to an intraparotid lymph node and with CT and MRI findings mimicking a benign lesion. Conclusion: All the images revealed sharply outlined profiles and a homogeneous enhancement of the nodule, suggesting a benign tumor and demonstrating that a radiological evaluation of the lesion alone may be unsatisfactory and misleading in the diagnosis of salivary gland tumours, especially in the case of low grade malignant tumors, such as EMC.

Original languageEnglish
Article number25
JournalInternational Seminars in Surgical Oncology
Volume4
DOIs
Publication statusPublished - Oct 16 2007

ASJC Scopus subject areas

  • Oncology
  • Surgery

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