A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation

Mucoepidermoid carcinoma is the most common malignant tumor of the salivary gland. The oncocytic variant of mucoepidermoid carcinoma (OMEC) is rare and a small subset shows exclusive oncocytic morphology. Here we report an OMEC case of the parotid gland in a 74-year-old woman with exclusive oncocyte...

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Main Authors: Xiaoyan Liao, Parviz Haghighi, Charles S. Coffey, Xiangdong Xu
Format: Article
Language:English
Published: SAGE Publishing 2016-06-01
Series:Rare Tumors
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/rt/article/view/6166
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author Xiaoyan Liao
Parviz Haghighi
Charles S. Coffey
Xiangdong Xu
author_facet Xiaoyan Liao
Parviz Haghighi
Charles S. Coffey
Xiangdong Xu
author_sort Xiaoyan Liao
collection DOAJ
description Mucoepidermoid carcinoma is the most common malignant tumor of the salivary gland. The oncocytic variant of mucoepidermoid carcinoma (OMEC) is rare and a small subset shows exclusive oncocytic morphology. Here we report an OMEC case of the parotid gland in a 74-year-old woman with exclusive oncocytes and rare mucocytes. The oncocytes showed diffuse nuclear positivity with p63 immunostaining. The <em>MAML2</em> translocation was present, supporting the diagnosis of OMEC. Distinguishing OMEC with exclusive oncocytes from oncocytoma and oncocytic carcinoma can be very challenging for pathologists and is critical for proper clinical management. Our experience suggests that appropriate ancillary studies, especially the <em>MAML2</em> translocation, may provide the essential evidence in difficult cases. Our literature review shows that the presence of mucocytes in an oncocytic neoplasm might be an important morphologic clue of OMEC.
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spelling doaj.art-d506e3fa1f5a4fe4965f094dd17af6e22022-12-22T01:18:41ZengSAGE PublishingRare Tumors2036-36052036-36132016-06-018210.4081/rt.2016.61663363A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocationXiaoyan Liao0Parviz Haghighi1Charles S. Coffey2Xiangdong Xu3Department of Pathology, University of California San Diego and VA San Diego Healthcare System, San Diego, CADepartment of Pathology, University of California San Diego and VA San Diego Healthcare System, San Diego, CADivision of Head and Neck Surgery, University of California San Diego and VA San Diego Healthcare System, San Diego, CADepartment of Pathology, University of California San Diego and VA San Diego Healthcare System, San Diego, CAMucoepidermoid carcinoma is the most common malignant tumor of the salivary gland. The oncocytic variant of mucoepidermoid carcinoma (OMEC) is rare and a small subset shows exclusive oncocytic morphology. Here we report an OMEC case of the parotid gland in a 74-year-old woman with exclusive oncocytes and rare mucocytes. The oncocytes showed diffuse nuclear positivity with p63 immunostaining. The <em>MAML2</em> translocation was present, supporting the diagnosis of OMEC. Distinguishing OMEC with exclusive oncocytes from oncocytoma and oncocytic carcinoma can be very challenging for pathologists and is critical for proper clinical management. Our experience suggests that appropriate ancillary studies, especially the <em>MAML2</em> translocation, may provide the essential evidence in difficult cases. Our literature review shows that the presence of mucocytes in an oncocytic neoplasm might be an important morphologic clue of OMEC.http://www.pagepress.org/journals/index.php/rt/article/view/6166Mucoepidermoid carcinomaoncocytic variantsalivary glandMAML2 translocationp63 immunostaining
spellingShingle Xiaoyan Liao
Parviz Haghighi
Charles S. Coffey
Xiangdong Xu
A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
Rare Tumors
Mucoepidermoid carcinoma
oncocytic variant
salivary gland
MAML2 translocation
p63 immunostaining
title A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
title_full A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
title_fullStr A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
title_full_unstemmed A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
title_short A rare case of exclusively oncocytic mucoepidermoid carcinoma with MAML2 translocation
title_sort rare case of exclusively oncocytic mucoepidermoid carcinoma with maml2 translocation
topic Mucoepidermoid carcinoma
oncocytic variant
salivary gland
MAML2 translocation
p63 immunostaining
url http://www.pagepress.org/journals/index.php/rt/article/view/6166
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