Mucoepidermoid carcinoma of smaller salivary glands: report of five cases

Carcinoma mucoepidermóide de glândulas salivares menores: relato de cinco casos

Authors

DOI:

https://doi.org/10.17765/2176-9206.2024v17n4.e12588

Keywords:

Head and neck neoplasms, Malignant neoplasms, Mouth mucosa, Mucoepidermoid carcinoma, Salivary gland neoplasms

Abstract

Mucoepidermoid carcinoma (MEC) is the malignant neoplasm that most commonly affects the salivary glands, and may resemble reactional or vascular lesions of the mouth. This study aims to present the sociodemographic and clinicopathological profile of five MEC cases of minor salivary glands. Cases diagnosed as MEC in an Oral Pathological Anatomy Service were selected over a 19-years period. Data collection, histopathological analysis and tumor grading, as well as descriptive analysis of cases was carried out. There were 3,313 diagnoses, 36 of which were salivary gland neoplasms, x? 1.9 cases/year. Among salivary gland neoplasms, 12 (33.3%) were malignant and 5 (13.8%) were CME. There were 3 females and ages ranged from 37-81 years-old. Hard palate was the most common site affected, and low-grade tumors were more predominant. Health professionals must pay attention to lesions in the hard palate, to perform biopsy and histopathological analysis, as the correct diagnosis and histopathological grading are essential for referral and therapeutic decisions of the CME.

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Author Biographies

Karine Santos Almeida, Federal University of Espirito Santo

Graduated in dentistry from the Federal University of Espírito Santo.

Tainã Figueiredo Santos , Federal University of Espirito Santo

Master's student in Dental Sciences at the Federal University of Espírito Santo, developing research in the area of ​​concentration in Oral Pathology. I developed research in epidemiology, about Immunization and Vaccination Status in Academics in the Health Area at the Federal University of Espírito Santo, (2019-2020), in Oncology and Health Economics, on the Survey of Costs of Oropharyngeal Cancer Treatment by SUS in the State of Espírito Santo (2020-2021) and in dental prosthesis, about the dimensional change of molding materials in the use of disinfectants against the Sars-cov-2 virus (2021-2022).

Liliana Aparecida Pimenta de Barros, Federal University of Espirito Santo

She has a degree in Dentistry from the Federal University of Jequitinhonha and Mucuri Valleys - Diamantina/MG (1992), a master's degree in Dentistry (Stomatology) from the Federal University of Jequitinhonha and Mucuri Valleys (1997) and a PhD in Dentistry (Oral Pathology) from the University of São Paulo (1999). Full Professor (2017) at the Federal University of Espírito Santo, in the Undergraduate Course in Dentistry in the Disciplines of Oral Pathology, Stomatology and Evidence-Based Health Practice and in the Postgraduate Course in Dental Sciences: Fundamentals of Research Methodology, Integrated Diagnostic Process in Dentistry, Management and Entrepreneurship and Extension Practices. INEP Evaluator. She has experience in the area of ​​Dentistry, with an emphasis on Oral Pathology and Stomatology, working mainly on the following topics: oral cancer (promotion, risk factors, prevention, early diagnosis), oral carcinogenesis, oral support for oncology patients and management, diagnosis and treatment of oral pathologies, diagnostic methods. In the area of ​​Education: Active Methodologies and Higher Education, Management. Interinstitutional Relations Advisor at Ufes (2022).

Daniela Nascimento Silva , Federal University of Espirito Santo

She holds a degree in Dentistry from the Federal University of Alagoas (1997), a Master's degree (2002) and a PhD (2004) in Dentistry (Oral and Maxillofacial Surgery and Trauma) from the Pontifical Catholic University of Rio Grande do Sul. She is currently an Associate Professor of the Undergraduate Course in Dentistry and Assistant Coordinator of the Postgraduate Program in Dental Sciences at the Federal University of Espírito Santo. She has experience in the area of ​​Dentistry, with an emphasis on Oral and Maxillofacial Surgery and Traumatology, working mainly in the following areas: Orthognathic Surgery, Rapid Prototyping, Implantology, Bone Repair and Biomaterials.

Águida Cristina Gomes Henriques Leitão, Federal University of Espirito Santo

She holds a degree in Dentistry from the Federal University of Pernambuco, a Master's degree in Dentistry - Integrated Clinic (UFPE) and a PhD in Oral Pathology (UFRN). She is currently an associate professor in the Department of Clinical Dentistry at the Institute of Dentistry at UFES. She works as a permanent professor in the Postgraduate Program in Dental Sciences/UFES and the Postgraduate Program in Dentistry and Health/UFBA, coordinating research projects linked to master's and doctoral supervision. She coordinated the Postgraduate Program in Dentistry and Health/UFBA for 2 years. She founded and was a tutor of the Academic League of Oral Diagnosis (LADO) - UFBA. He has experience in the area of ​​Dentistry, with an emphasis on Oral Pathology, works as an anatomical pathologist and carries out research covering mainly the following topics: odontogenic cysts and tumors, stem cells in dentistry, potentially malignant lesions, oral cancer and laser therapy.

Danielle Resende Camisasca, Federal University of Espirito Santo

He holds a degree in Dentistry from the Federal University of Espírito Santo (2002), a specialization in Stomatology from the Federal University of Rio de Janeiro (2003), a master's degree in Pathology from the Federal Fluminense University (2007) and a PhD in Pathology from the Federal Fluminense University (2009). He is currently an associate professor at the Federal University of Espírito Santo. He has experience in Dentistry, with an emphasis on Oral Pathology and Stomatology, working mainly on the following topics: squamous cell carcinoma, oral cancer, disorders with potential for malignancy, oral leukoplakia, diagnosis, prognosis and pathology.

References

Walvekar R, Phalke NP. The Evaluation and Management of Carcinoma of the Minor Salivary Glands. Otolaryngol Clin North Am [Internet]. 2021 [citado em 14 de mar de 2024];2021;54(3):629–39. Disponível em: https://doi.org/10.1016/j.otc.2021.02.011

Vergara GV, Sabelle HN, Espinoza SI, Mardones MM, Araya SC, Maturana RA, et al. Desafío diagnóstico y terapéutico de carcinoma mucoepidermoide palatino: reporte de un caso. Rev otorrinolaringol cir cabeza cuello [Internet]. 2021 [citado de 16 de mar de 2024];2021;81(2):226–31. Disponível em: http://dx.doi.org/10.4067/s0718-48162021000200226

Santos TS, Melo DG, Andrade ESS, Silva EDO, Gomes ACA. Carcinoma mucoepidermóide no palato: relato de caso. Rev Port Estomatol Med Dent Cir Maxilofac [Internet]. 2012 [Citado em 19 de mar de 2024];2012;53(1):29–33. Disponível em: https://doi.org/10.1016/j.rpemd.2011.11.002

Reginaldo I, Barin LM. Carcinoma mucoepidermoide: relato de caso e considerações clínicas. Rev Foco [Internet]. 2024 [Citado em 17 de mar de 2024];2024;17(4):e4806– e4806. Disponível em: https://doi.org/10.54751/revistafoco.v17n4-028

Gonçalo RIC, Dantas AN, Morais EF, Freitas RA. Carcinoma mucoepidermoide em região retromolar: relato de caso. J Bras Patol Med Lab [Internet]. 2020 [citado em 19 de mar de 2024];2020;56(4):e1592020. Disponível em: https://doi.org/10.5935/1676-2444.20200015

Vitoriano JP, Nascimento SB, Silva IOA da, Nascimento S dos S, Kang HC. Percurso do diagnóstico de malignidades. Rev de Saúde [Internet]. 2021 [citado em 20 de mar de 2024]; 2021;12(1):48-54. Disponível em: https://doi.org/10.21727/rs.v12i1.2361

Badlani J, Gupta R, Balasubramanian D, Smith J, Luk P, Clark J. Primary salivary gland malignancies: a review of clinicopathological evolution, molecular mechanisms and management. ANZ J Surg [Internet]. 2017 [citado em 14 de fev de 2024];2017;88(3):152-7. Disponível em: https://doi.org/10.1111/ans.14201

WHO Classification of Tumours Editorial Board. Head and neck tumours. Lyon (France): International Agency for Research on Cancer; 2022; 5(9). Disponível em: https://publications.iarc.fr/.

Tavares JLF, Leite JVC, da Silva MAB, de Lucena ALR, da Silva MAA, Goes PEM et al. Carcinoma mucoepidermoide em glândulas salivares: estudo retrospectivo de 15 anos no nordeste Brasileiro. REAS [Internet]. 2023 [citado em 24 de mar de 2024];23(12), e14528-e14528. Disponível em: https://doi.org/10.25248/reas.e14528.2023

Sama S, Komiya T, Guddati AK. Advances in the Treatment of Mucoepidermoid Carcinoma. World J Clin Oncol [Internet]. 2022 [citado em 02 de abr de 2024];2022;13(1):1–7. Disponível em: https://doi.org/10.14740/wjon1412

Pérez-de-Oliveira ME, Wagner VP, Araújo ALD, Martins MD, Santos-Silva AR, Bingle L, et al. Prognostic value of CRTC1-MAML2 translocation in salivary mucoepidermoid carcinoma: Systematic review and meta-analysis. J Oral Pathol Med [Internet]. 2020 [citado em 05 de abr de 2024];. 2020;49(5):386–94. Disponível em: https://doi.org/10.1111/jop.12970

Singh H, Yadav AK, Chand S, Singh A, Shukla B. Central mucoepidermoid carcinoma: Case report with review of literature. Natl J Maxillofac Surg [Internet]. 2019 [citado em 06 de abr de 2024];2019;10(1):109–13. Disponível em: https://doi.org/10.4103/0975-5950.259843

Teixeira LN, Perez EG, Rosa ACG, Lima SRR, Soares MQS, Passador-Santos F, et al. Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion. Case Rep Dent [Internet]. 2023 [citado em 07 de abr de 2024];2023; 2023:e5714099. Disponível em: https://doi.org/10.1155/2023/5714099

Aghahosseini F, HafeziMotlagh K, Derakhshan S, Bahrami H. Mucoepidermoid carcinoma of the palate in a patient with a history of neuroblastoma: A case report and a review of the literature. Clin Case Rep [Internet]. 2023 [citado em 08 de abr de 2024];2023;11(9):e7898. Disponível em: https://doi.org/10.1002/ccr3.7898

Brajdić D, Virag M, Manojlović S, Luksić I, Franćeski D, Biocić J, et al. Mucoepidermoid carcinoma misdiagnosed as palatal odontogenic infection: an overview on the differential diagnosis of palatal lesions. Coll Antropol [internet] 2010 Dez [citado em 08 de abr de 2024]; 2010;34(4):1473–9. Disponível em: https://hrcak.srce.hr/62857.

Buch SA, Babu GS, Castelino RL, Rao S, Rao K. A rare case of long-standing mucoepidermoid carcinoma of minor salivary glands of the palate. Stomatologija. [internet] 2019 Set [citado em 09 de abr de 2024];2019;21(3):92–6. Disponível em: https://sbdmj.lsmuni.lt/193/193-05.pdf

Harada F, Abiko Y, Khurelchuluun A, Yoshida K, Takeda S, Nakayama E, et al. Intraosseous clear cell mucoepidermoid carcinoma in the maxilla: A case report and review of literature. Clin Case Rep [Internet]. 2021 [citado em 09 de abr de 2024];2021;9(7):e04447. Disponível em: https://doi.org/10.1002/ccr3.4447

Gonçalo RIC, Dantas AN, Morais EF, Freitas RA. Carcinoma mucoepidermoide em região retromolar: relato de caso. J Bras Patol Med Lab [Internet]. 2020 [citado em 10 de abr de 2024];2020;56:e1592020. Disponível em: https://doi.org/10.5935/1676-2444.20200015

Santos DF, Mquartaelzer R, Milani, Cintia Mussi . Diagnóstico precoce de carcinoma mucoepidermóide em palato duro: Relato de Caso. Rev Assoc Paul Cir Dent. [internet]2018 abr [citado em 12 de abr de 2024];2019;73(1):66-9. Disponível em: https://www.cintiamilani.com.br/uploads/diagnostico.pdf

Ta MN, Do TM, Yu AC, Gupta JD, Gupta ND, Palacios E. Mucoepidermoid Carcinoma of the Hard Palate in a Middle-Aged Man. Ear Nose Throat J [Internet]. 2022 [citado em 15 de abr de 2024];2022;1455613221121042. Disponível em: https://doi.org/10.1177/01455613221121042

Caceres-Puerto M, Porras-Alonso E, Salom-Coveñas C. Tumores parotídeos: correlación entre estudios de imagen, punción aspiración con aguja fina y los hallazgos histopatológicos. Rev ORL [Internet]. 2022 [citado em 16 de abr de 2024];2022;14(2):e29977. Disponível em: https://dx.doi.org/10.14201/orl.29977

Choi IGG, Park M, Laurino FAR, Cortes ARG, Arita ES. Ressonância magnética para avaliação de tumores malignos da cavidade oral: uma revisão da literatura. Clin Lab Res Dent [Internet]. 2018 [citado em 17 de abr de 2024];2018:1-7. Disponível em: https://doi.org/10.11606/issn.2357-8041.clrd.2018.142535

Zhang MH, Hasse A, Carroll T, Pearson AT, Cipriani NA, Ginat DT. Differentiating low and high grade mucoepidermoid carcinoma of the salivary glands using CT radiomics. Gland Surg[Internet]. 2021 [citado em 20 de abr de 2024];2021;10(5):1646–54. Disponível em: http://dx.doi.org/10.21037/gs-20-830

Published

2024-05-26

How to Cite

Santos Almeida, K. ., Figueiredo Santos , T., Pimenta de Barros, L. A. ., Nascimento Silva , D. ., Gomes Henriques Leitão, Águida C. ., & Resende Camisasca, D. . (2024). Mucoepidermoid carcinoma of smaller salivary glands: report of five cases: Carcinoma mucoepidermóide de glândulas salivares menores: relato de cinco casos. Saúde E Pesquisa, 17(4), e12588. https://doi.org/10.17765/2176-9206.2024v17n4.e12588

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Section

Relato de Casos