Abstract

Myoepithelioma is a rare salivary gland neoplasm. They most commonly affect the major and minor salivary glands with the parotid gland being the most common, approximately 40%. Only 1% of all salivary gland neoplasms are myoepitheliomas. Myoepithelioma is usually a benign tumor arising from neoplastic myoepithelial or basket cells which are found between the basement membrane and the basal plasma membrane of acinar cells. They also contain multiple cellular elements. We present a case of a 73-year-old female with myoepithelioma of the parotid gland, an extremely rare neoplasm. There have been approximately 42 cases reported through 1985 and fewer than 100 cases through 1993. We will discuss the clinical presentation, pathophysiology, diagnosis, and treatment of such neoplasms.

Highlights

  • Of all benign major and minor salivary gland neoplasms, myoepitheliomas account for 2.2% and 5.7%, respectively

  • We present the first known case, to the best of our knowledge, at our institution of myoepithelioma occurring in the left parotid gland

  • Myoepithelioma of the salivary gland was first officially recognized as a subtype of salivary neoplasms in 1991 [6]

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Summary

Introduction

Of all benign major and minor salivary gland neoplasms, myoepitheliomas account for 2.2% and 5.7%, respectively. The parotid gland is affected in approximately 40% of cases. Myoepitheliomas only account for 1% of all salivary gland neoplasms. The overwhelming majority of myoepitheliomas are benign but malignant transformation can take place in recurrent cases and cases left untreated [1,2,3]. We present the first known case, to the best of our knowledge, at our institution of myoepithelioma occurring in the left parotid gland

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