Epithelial-myoepithelial carcinoma of salivary gland with metastasis to lung: report of a case and review of the literature.

A 63-year-old man was initially seen with multiple pulmonary nodules 14 years after a left parotidectomy for an epithelial-myoepithelial carcinoma of salivary gland. Eight and 18 months after parotidectomy, the patient had local recurrence of his salivary gland tumor. He remained disease-free before being seen with pulmonary nodules, which were evaluated by open lung biopsy. The pathologic features of the pulmonary nodules were identical to the salivary gland tumor resected 14 years earlier. This is the fourth reported case of epithelial-myoepithelial carcinoma of salivary gland metastasizing to a distant site.