title: Plasmacytoid myoepithelioma of minor salivary glands: report of case with emphasis in the immunohistochemical findings.
abstract: Myoepithelioma is a rare benign tumor of the salivary glands and is usually seen in the parotid gland and the minor salivary glands. It was once considered to be a type of pleomorphic adenoma (PA), but myoepitheliomas are today believed to be relatively aggressive tumors. Myoepitheliomas are most common in young adults between the ages of 30 and 50 and there are very few cases reported in individuals less than 18 years of age. We report a case of myoepithelioma located in the hard palate in a 15-year-old Brazilian male. The tumor was composed of plasmacytoid myoepithelial cells. An analysis of the immunohistochemical profile of the tumor cells showed positivity for vimentin, S-100 protein, and glial fibrillary acidic protein (GFAP), but not for smooth muscle actin (α-SMA) and cytokeratin 14 (CK14). We report this case because of the rarity of this tumor, especially in adolescents. We also discuss the histological parameters of the differential diagnosis of this tumor as well as its immunohistochemical profile.
authors.affiliation: Department of Dentistry, School of Dentistry, University Tiradentes, Aracaju, SE, Brazil. esau_pinheiro@hotmail.com
authors.forename: Esaú P
authors.initials: EP
authors.lastname: Santos
authors.forename: Danielle Rr
authors.initials: DR
authors.lastname: Cavalcante
authors.forename: Allan Uc
authors.initials: AU
authors.lastname: Melo
authors.forename: José C
authors.initials: JC
authors.lastname: Pereira
authors.forename: Margarete Z
authors.initials: MZ
authors.lastname: Gomes
authors.forename: Ricardo Lc
authors.initials: RL
authors.lastname: Albuquerque
mesh_terms: D000293:Adolescent; D014408:Biomarkers, Tumor / Q000032:analysis*; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005904:Glial Fibrillary Acidic Protein / Q000032:analysis*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D009208:Myoepithelioma / Q000175:diagnosis* / Q000378:metabolism; D009367:Neoplasm Staging; D010954:Plasmacytoma / Q000175:diagnosis* / Q000378:metabolism; D009418:S100 Proteins / Q000032:analysis*; D012468:Salivary Gland Neoplasms / Q000175:diagnosis* / Q000378:metabolism; D012470:Salivary Glands, Minor; D014746:Vimentin / Q000032:analysis*
chemical_list: D014408:Biomarkers, Tumor; D005904:Glial Fibrillary Acidic Protein; D009418:S100 Proteins; D014746:Vimentin