Epithelial-myoepithelial carcinoma metastasis to the thoracic spine

C Rory Goodwin; Mohamed H Khattab; Eric W Sankey; Genevieve M Crane; Edward F McCarthy; Daniel M Sciubba

doi:10.1016/j.jocn.2015.07.014

Epithelial-myoepithelial carcinoma metastasis to the thoracic spine

J Clin Neurosci. 2016 Feb:24:143-6. doi: 10.1016/j.jocn.2015.07.014. Epub 2015 Oct 21.

Authors

C Rory Goodwin¹, Mohamed H Khattab¹, Eric W Sankey¹, Genevieve M Crane², Edward F McCarthy², Daniel M Sciubba³

Affiliations

¹ Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA.
² Department of Pathology, The Johns Hopkins University, Baltimore, MD, USA.
³ Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA. Electronic address: [email protected].

PMID: 26474503
DOI: 10.1016/j.jocn.2015.07.014

Abstract

Epithelial-myoepithelial carcinoma (EMC) is a very rare salivary gland malignancy accounting for less than 1% of salivary gland tumors, and classically arises from the parotid gland in females. Spinal cord compression caused by EMC metastasized from the parotid gland has only been described once in the literature to our knowledge. We report the first case of a patient with parotid EMC spinal metastasis undergoing a gross total resection with instrumented fusion. This case illustrates that an en bloc resection with a planned transgression through the spinal canal may be a reasonable option for EMC metastasized to the spine.

Keywords: En bloc; Epithelial-myoepithelial carcinoma; Gross total resection; Instrumented fusion; Spinal cord compression.

Publication types

Case Reports

MeSH terms

Adult
Carcinoma / pathology
Carcinoma / secondary*
Female
Humans
Myoepithelioma / secondary*
Parotid Neoplasms / pathology*
Spinal Cord Compression / etiology
Spinal Cord Neoplasms / complications
Spinal Cord Neoplasms / secondary*