Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement

Sclerosing mucoepidermoid carcinoma with eosinophilia (SMCE) is a rare subgroup of mucoepidermoid carcinoma characterized by dense stromal sclerosis and marked eosinophil infiltration. We herein describe two Japanese cases of SMCE. The patients were a 60 year-old female and a 67 year-old female, and...

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Main Authors: Hiroshi Harada, Masashi Takeda, Yohko Kohno, Shin-ichi Nakatsuka, Kenji Mishima, Akira Kurose
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Human Pathology: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214330021000754
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author Hiroshi Harada
Masashi Takeda
Yohko Kohno
Shin-ichi Nakatsuka
Kenji Mishima
Akira Kurose
author_facet Hiroshi Harada
Masashi Takeda
Yohko Kohno
Shin-ichi Nakatsuka
Kenji Mishima
Akira Kurose
author_sort Hiroshi Harada
collection DOAJ
description Sclerosing mucoepidermoid carcinoma with eosinophilia (SMCE) is a rare subgroup of mucoepidermoid carcinoma characterized by dense stromal sclerosis and marked eosinophil infiltration. We herein describe two Japanese cases of SMCE. The patients were a 60 year-old female and a 67 year-old female, and each had a tumor of the parotid and upper lip, both of which were successfully removed with no signs of recurrence or metastasis. Histologically, the tumors consisted of round or polygonal, and partly spindle-shaped squamous cells with generally scant keratinization, which formed small and large invasive nests in the background of dense sclerotic stroma with marked eosinophil infiltration. Only a small number of mucus-producing cells and cytoplasmic mucin vacuoles were observed. The second case was unique in its presentation of melanin pigmentation, which is rarely found in oral tumors. Fluorescence in situ hybridization for MAML2 was performed, but no clear split signals were confirmed in either case. The histogenesis of SMCE, which is possibly different to that of ordinary mucoepidermoid carcinoma or the other counterpart of sclerosing mucoepidermoid carcinoma lacking eosinophilia, is further discussed comparing their genetic backgrounds. Their pathological features and diagnostic problems are also detailed.
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spelling doaj.art-f95bc320b0cc4f2dba0f663ca5a200a22022-12-21T21:59:44ZengElsevierHuman Pathology: Case Reports2214-33002021-09-0125200546Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangementHiroshi Harada0Masashi Takeda1Yohko Kohno2Shin-ichi Nakatsuka3Kenji Mishima4Akira Kurose5Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan; Corresponding author at: Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, 5 Zaifu, Hirosaki 036-8562, Japan.Department of Pathology, Yao Municipal Hospital, Yao, JapanDivision of Pathology, Department of Oral Diagnostic Sciences, School of Dentistry, Showa University, Tokyo, JapanDepartment of Diagnostic Pathology, Yao Tokushukai General Hospital, Yao, JapanDivision of Pathology, Department of Oral Diagnostic Sciences, School of Dentistry, Showa University, Tokyo, JapanDepartment of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, JapanSclerosing mucoepidermoid carcinoma with eosinophilia (SMCE) is a rare subgroup of mucoepidermoid carcinoma characterized by dense stromal sclerosis and marked eosinophil infiltration. We herein describe two Japanese cases of SMCE. The patients were a 60 year-old female and a 67 year-old female, and each had a tumor of the parotid and upper lip, both of which were successfully removed with no signs of recurrence or metastasis. Histologically, the tumors consisted of round or polygonal, and partly spindle-shaped squamous cells with generally scant keratinization, which formed small and large invasive nests in the background of dense sclerotic stroma with marked eosinophil infiltration. Only a small number of mucus-producing cells and cytoplasmic mucin vacuoles were observed. The second case was unique in its presentation of melanin pigmentation, which is rarely found in oral tumors. Fluorescence in situ hybridization for MAML2 was performed, but no clear split signals were confirmed in either case. The histogenesis of SMCE, which is possibly different to that of ordinary mucoepidermoid carcinoma or the other counterpart of sclerosing mucoepidermoid carcinoma lacking eosinophilia, is further discussed comparing their genetic backgrounds. Their pathological features and diagnostic problems are also detailed.http://www.sciencedirect.com/science/article/pii/S2214330021000754Sclerosing mucoepidermoid carcinoma with eosinophiliaMAML2Salivary glandMelanin pigmentation
spellingShingle Hiroshi Harada
Masashi Takeda
Yohko Kohno
Shin-ichi Nakatsuka
Kenji Mishima
Akira Kurose
Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
Human Pathology: Case Reports
Sclerosing mucoepidermoid carcinoma with eosinophilia
MAML2
Salivary gland
Melanin pigmentation
title Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
title_full Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
title_fullStr Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
title_full_unstemmed Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
title_short Sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands: Two additional cases not harboring MAML2 gene rearrangement
title_sort sclerosing mucoepidermoid carcinoma with eosinophilia of the salivary glands two additional cases not harboring maml2 gene rearrangement
topic Sclerosing mucoepidermoid carcinoma with eosinophilia
MAML2
Salivary gland
Melanin pigmentation
url http://www.sciencedirect.com/science/article/pii/S2214330021000754
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