title: Epithelial-myoepithelial carcinoma metastasis to the thoracic spine.
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.
authors.affiliation: Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA.
authors.forename: C Rory
authors.initials: CR
authors.lastname: Goodwin
authors.affiliation: Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA.
authors.forename: Mohamed H
authors.initials: MH
authors.lastname: Khattab
authors.affiliation: Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA.
authors.forename: Eric W
authors.initials: EW
authors.lastname: Sankey
authors.affiliation: Department of Pathology, The Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Genevieve M
authors.initials: GM
authors.lastname: Crane
authors.affiliation: Department of Pathology, The Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Edward F
authors.initials: EF
authors.lastname: McCarthy
authors.affiliation: Department of Neurosurgery, The Johns Hopkins University, 600 North Wolfe Street, Meyer 5-185, Baltimore, MD 21287, USA. Electronic address: rory@jhmi.edu.
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Sciubba
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D009208:Myoepithelioma / Q000556:secondary*; D010307:Parotid Neoplasms / Q000473:pathology*; D013117:Spinal Cord Compression / Q000209:etiology; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000556:secondary*
keywords: En bloc; Epithelial-myoepithelial carcinoma; Gross total resection; Instrumented fusion; Spinal cord compression