|
KMID : 0829220230470050105
|
|
Korean Journal of Oral and Maxillofacial Pathology
2023 Volume.47 No. 5 p.105 ~ p.110
|
|
|
High Grade Mucoepidermoid Carcinoma on Parotid Gland: Case Report and Literature Review
|
|
Jung Jae-Hwan
Cho Sang-Huem
Hong Jin-Ho
Han Seung-Yong
Kim Hyun-Sil
Nam Woong
|
|
|
Abstract
|
|
|
|
Mucoepidermoid carcinoma (MEC) is the most prevalent malignant tumor originating from the salivary gland. The gradation of MEC is determined histologically based on cellular composition, with high-grade MEC presenting with distinct characteristics and clinical implications. A 56-year-old male presented with a 3-month history of right facial swelling and a recent onset of pain. A subsequent biopsy confirmed a malignant epithelial tumor, with further imaging assisting in determining the surgical approach. Comprehensive surgery, involving the removal of the right submandibular gland and reconstructive procedures, was undertaken. Histopathological evaluation post-surgery confirmed a high-grade MEC. The differentiation between inflammatory conditions and neoplastic lesions in the orofacial region can be challenging. The gradation of MEC is important in guiding therapeutic decisions. Among various classification systems, the Brandwein system offers detailed histopathological criteria that correlate reliably with clinical features. High-grade MECs, although less frequent, are aggressive and have a lower 5-year survival rate. Accurate histopathological diagnosis is crucial in devising an effective treatment plan. The presented case underlines the importance of a meticulous yet periodic follow-up, considering the aggressive nature of high-grade MECs.
|
|
|
KEYWORD
|
|
|
Mucoepidermoid carcinoma, Parotid gland tumor, Grading system, AFIP system, Brandwein system
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|