| Literature DB >> 33526224 |
Bin Xu1, Nora Katabi2.
Abstract
Myoepithelial carcinoma (MECA) may overlap histologically with other salivary gland neoplasms, especially pleomorphic adenoma. MECA is characterized by cellular, uniform growth of myoepithelial cells and multinodular expansile invasive pattern with zonal cellular distribution. It may arise de novo or in association with pleomorphic adenoma (myoepithelial carcinoma ex pleomorphic adenoma). By immunohistochemistry, MECA is positive for cytokeratins and at least one of the myoepithelial markers, including S100. PLAG1 fusion is the most common genetic alteration. Carcinoma ex pleomorphic adenoma and necrosis correlate with worse clinical outcome in MECA, and necrosis can be used to stratify MECA as high grade.Entities:
Keywords: Carcinoma ex pleomorphic adenoma; Myoepithelial carcinoma; PLAG1; Pleomorphic adenoma
Mesh:
Year: 2021 PMID: 33526224 PMCID: PMC8522910 DOI: 10.1016/j.path.2020.09.008
Source DB: PubMed Journal: Surg Pathol Clin ISSN: 1875-9157