Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis

Key Clinical Message When faced with a slowly enlarging firm mass in the parotid gland accompanied by a histological picture of unusual sclerosis with abundant Langerhans cells and eosinophilic infiltrates, sclerosing mucoepidermoid carcinoma with eosinophilia should be considered as one of the diff...

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Main Authors: Florence Man Fung Cheung, Chit Chow, Jimmy Yu Wai Chan
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7488
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author Florence Man Fung Cheung
Chit Chow
Jimmy Yu Wai Chan
author_facet Florence Man Fung Cheung
Chit Chow
Jimmy Yu Wai Chan
author_sort Florence Man Fung Cheung
collection DOAJ
description Key Clinical Message When faced with a slowly enlarging firm mass in the parotid gland accompanied by a histological picture of unusual sclerosis with abundant Langerhans cells and eosinophilic infiltrates, sclerosing mucoepidermoid carcinoma with eosinophilia should be considered as one of the differential diagnoses. Further studies are warranted for accurate diagnosis and appropriate treatment. Abstract Sclerosing mucoepidermoid carcinoma of the salivary gland with eosinophilia is a rare tumor mostly negative for the MAML2 rearrangement commonly seen in salivary mucoepidermoid carcinoma. It was not listed as an entity in the 2022 WHO Classification of Head and Neck Tumors. We presented one case initially diagnosed as Langerhans cell histiocytosis and recurred as a frankly invasive carcinoma. Molecular studies showed CSF1 gene derangement and provided new understanding concerning the Langerhans cell and eosinophilic reaction. Further molecular studies on this entity would throw light on its oncogenesis and refine its nomenclature.
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spelling doaj.art-8838bd36b4d147ca96c56bdbc7c7fd142023-06-30T07:34:07ZengWileyClinical Case Reports2050-09042023-06-01116n/an/a10.1002/ccr3.7488Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosisFlorence Man Fung Cheung0Chit Chow1Jimmy Yu Wai Chan2Clinical Laboratory Gleneagles Hospital Hong Kong Hong Kong Hong KongDepartment of Anatomical and Cellular Pathology Chinese University of Hong Kong Hong Kong Hong KongChief of Division of Head and Neck Surgery and Division of Plastic and Reconstructive Surgery, School of Medicine University of Hong Kong Hong Kong Hong KongKey Clinical Message When faced with a slowly enlarging firm mass in the parotid gland accompanied by a histological picture of unusual sclerosis with abundant Langerhans cells and eosinophilic infiltrates, sclerosing mucoepidermoid carcinoma with eosinophilia should be considered as one of the differential diagnoses. Further studies are warranted for accurate diagnosis and appropriate treatment. Abstract Sclerosing mucoepidermoid carcinoma of the salivary gland with eosinophilia is a rare tumor mostly negative for the MAML2 rearrangement commonly seen in salivary mucoepidermoid carcinoma. It was not listed as an entity in the 2022 WHO Classification of Head and Neck Tumors. We presented one case initially diagnosed as Langerhans cell histiocytosis and recurred as a frankly invasive carcinoma. Molecular studies showed CSF1 gene derangement and provided new understanding concerning the Langerhans cell and eosinophilic reaction. Further molecular studies on this entity would throw light on its oncogenesis and refine its nomenclature.https://doi.org/10.1002/ccr3.7488CSF1eosinophiliaLangerhans cellsSclerosing mucoepidermoid carcinoma
spellingShingle Florence Man Fung Cheung
Chit Chow
Jimmy Yu Wai Chan
Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
Clinical Case Reports
CSF1
eosinophilia
Langerhans cells
Sclerosing mucoepidermoid carcinoma
title Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
title_full Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
title_fullStr Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
title_full_unstemmed Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
title_short Detection of CSF1 gene derangement in ‘sclerosing mucoepidermoid carcinoma with eosinophilia’ of the parotid gland masquerading as Langerhans cell histiocytosis
title_sort detection of csf1 gene derangement in sclerosing mucoepidermoid carcinoma with eosinophilia of the parotid gland masquerading as langerhans cell histiocytosis
topic CSF1
eosinophilia
Langerhans cells
Sclerosing mucoepidermoid carcinoma
url https://doi.org/10.1002/ccr3.7488
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AT chitchow detectionofcsf1genederangementinsclerosingmucoepidermoidcarcinomawitheosinophiliaoftheparotidglandmasqueradingaslangerhanscellhistiocytosis
AT jimmyyuwaichan detectionofcsf1genederangementinsclerosingmucoepidermoidcarcinomawitheosinophiliaoftheparotidglandmasqueradingaslangerhanscellhistiocytosis