| Turkish Journal of Cancer |
| 2008, Volume 38, Number 2, Page(s) 083-086 |
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| Cerebral metastasis of mucoepidermoid carcinoma as the first clinical presentation: Detailed immunohistochemical evaluation |
| HACER HALTAŞ, ZEHRA BOZDAĞ, NASUHİ ENGİN AYDIN, BÜLENT MIZRAK |
| İnönü University Faculty of Medicine, Department of Pathology, Malatya-Turkey |
Mucoepidermoid carcinoma (MEC) is known as a low grade
malignant tumor. Lymph node and distant metastases are
only seen in the high grade variant of MEC. The patient,
52-year-old male, had progressive vision loss, urinary incontinence
and weakness at the left side at first physical
examination. Computed tomography scan demonstrated
4x3x4 cm mass at parafalcian region in the brain and an
additional 2x2 cm mass at right lung field. The resected
mass in the brain was 4.5 cm in diameter, solid, necrotic,
pale gray tissue with irregular borders. Microscopically the
tumor was composed of squamoid, intermediate and glandular
cells. Mucicarmine, PAS-Alcian blue, carcinoembryonic
antigen-monoclonal (CEA-M), cytokeratin 7 and 18
staining revealed glandular cells to whereas cytokeratin 8
was focally expressed in squamoid cells. Cytokeratin 20
and c-erb-B2 were negative in all of the tumor cells. This
case is a low grade MEC metastasis which emphasizes
the malignant potential of these tumors. [Turk J Cancer
2008;38(2):83-86]
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