Myopericytoma of the Parotid and Molecular Profiling: Report of a Rare Case and Review of the Literature

Int J Surg Pathol. 2022 Aug;30(5):574-580. doi: 10.1177/10668969211070167. Epub 2021 Dec 31.

Abstract

Myopericytomas are uncommon tumors defined by their round to spindle shaped cells often arranged in a concentric pattern of perivascular growth. They are typically well-circumscribed, nodular, slow-growing lesions that occur in the soft tissue of the extremities. Here, we present a 30-year-old female with a 2.4 cm myopericytoma occurring in the deep lobe of the parotid gland. The diagnosis was made with detailed histopathologic and immunohistochemical findings and positive identification of the specific mutation for PDGFRβ p.Asp666Lys by next generation sequencing (NGS). This is the first case report of a parotid myopericytoma with a genetic testing that shows a particular mutation that has been linked to myopericytomatosis.

Keywords: PDGFRβ; immunohistochemistry; myopericytoma; next generation sequencing; parotid gland neoplasm; perivascular myoid differentiation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Female
  • Hemangiopericytoma* / diagnosis
  • Hemangiopericytoma* / genetics
  • Hemangiopericytoma* / pathology
  • Humans
  • Myopericytoma* / diagnosis
  • Myopericytoma* / pathology
  • Parotid Gland / pathology
  • Parotid Gland / surgery
  • Receptor, Platelet-Derived Growth Factor beta

Substances

  • Receptor, Platelet-Derived Growth Factor beta