Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs

Myoepithelial carcinoma is an uncommon tumor of the salivary glands, most commonly the parotid gland. Clear cell myoepithelial carcinoma is a rare variant with an aggressive behavior. Here, we describe a case of clear cell myoepithelial carcinoma arising from the hard palate in an elderly male who u...

Full description

Saved in:
Bibliographic Details
Main Authors: Jiayun Fang, Amanda Kornfield, Alex Clavijo, Shikhar Vyas, Alison Ulbrandt, Carsten Schroeder, J. Kenneth Byrd, Daniel Kleven
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2019/3863270
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832568338627166208
author Jiayun Fang
Amanda Kornfield
Alex Clavijo
Shikhar Vyas
Alison Ulbrandt
Carsten Schroeder
J. Kenneth Byrd
Daniel Kleven
author_facet Jiayun Fang
Amanda Kornfield
Alex Clavijo
Shikhar Vyas
Alison Ulbrandt
Carsten Schroeder
J. Kenneth Byrd
Daniel Kleven
author_sort Jiayun Fang
collection DOAJ
description Myoepithelial carcinoma is an uncommon tumor of the salivary glands, most commonly the parotid gland. Clear cell myoepithelial carcinoma is a rare variant with an aggressive behavior. Here, we describe a case of clear cell myoepithelial carcinoma arising from the hard palate in an elderly male who underwent resection of the tumor and postop radiation. Posttreatment imaging demonstrated bilateral pulmonary nodules and a C2 body lesion concerning for metastasis. Biopsy of the lung lesions revealed a monomorphous population of optically clear cells with hyperchromatic and pleomorphic nuclei which were morphologically similar to the prior resection specimen. There are few reported cases of clear cell myoepithelial carcinoma arising from the hard palate, and there are even fewer reports on metastases to the lungs. Due to the low number of reported cases, prognosis and treatment of this neoplasm is not well defined.
format Article
id doaj-art-19509869206048e38e4e04de106f9cf0
institution Kabale University
issn 2090-6781
2090-679X
language English
publishDate 2019-01-01
publisher Wiley
record_format Article
series Case Reports in Pathology
spelling doaj-art-19509869206048e38e4e04de106f9cf02025-02-03T00:59:17ZengWileyCase Reports in Pathology2090-67812090-679X2019-01-01201910.1155/2019/38632703863270Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the LungsJiayun Fang0Amanda Kornfield1Alex Clavijo2Shikhar Vyas3Alison Ulbrandt4Carsten Schroeder5J. Kenneth Byrd6Daniel Kleven7School of Medicine at Medical College of Georgia at Augusta University, Augusta, GA, USASchool of Medicine at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Pathology at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Pathology at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Radiology at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Thoracic Oncology Surgery at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Head and Neck Surgery at Medical College of Georgia at Augusta University, Augusta, GA, USADepartment of Pathology at Medical College of Georgia at Augusta University, Augusta, GA, USAMyoepithelial carcinoma is an uncommon tumor of the salivary glands, most commonly the parotid gland. Clear cell myoepithelial carcinoma is a rare variant with an aggressive behavior. Here, we describe a case of clear cell myoepithelial carcinoma arising from the hard palate in an elderly male who underwent resection of the tumor and postop radiation. Posttreatment imaging demonstrated bilateral pulmonary nodules and a C2 body lesion concerning for metastasis. Biopsy of the lung lesions revealed a monomorphous population of optically clear cells with hyperchromatic and pleomorphic nuclei which were morphologically similar to the prior resection specimen. There are few reported cases of clear cell myoepithelial carcinoma arising from the hard palate, and there are even fewer reports on metastases to the lungs. Due to the low number of reported cases, prognosis and treatment of this neoplasm is not well defined.http://dx.doi.org/10.1155/2019/3863270
spellingShingle Jiayun Fang
Amanda Kornfield
Alex Clavijo
Shikhar Vyas
Alison Ulbrandt
Carsten Schroeder
J. Kenneth Byrd
Daniel Kleven
Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
Case Reports in Pathology
title Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
title_full Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
title_fullStr Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
title_full_unstemmed Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
title_short Clear Cell Myoepithelial Carcinoma Arising from the Hard Palate with Metastasis to the Lungs
title_sort clear cell myoepithelial carcinoma arising from the hard palate with metastasis to the lungs
url http://dx.doi.org/10.1155/2019/3863270
work_keys_str_mv AT jiayunfang clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT amandakornfield clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT alexclavijo clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT shikharvyas clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT alisonulbrandt clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT carstenschroeder clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT jkennethbyrd clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs
AT danielkleven clearcellmyoepithelialcarcinomaarisingfromthehardpalatewithmetastasistothelungs