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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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