J Korean Acad Oral Maxillofac Radiol.  1997 Feb;27(1):263-272.

Central mucoepidermoid carcinoma arising in mandible with multiple metastases

• Soh BC
• Lee YH
• Choi SC
• Park TW
• You DS

Abstract

The authors diagnosed a 54-year-old male as central mucoepidermoid carcinoma after undegoing clinical, radiologica l and histopathological examinations. The charateristics were as followed : 1. Clinically, the patient complained of the painless unilateral swelling of the left mandibular molar region and had a pus discharge through the fistula. Painful nodule was palpated on the scalp of the left frontal area and it was regarde d as a metastatic lesion. 2. Plain radiographs showed the ill-defined permeative radiolucent lesion. The osteolytic lesions were also detected in the cranial bone, number 9 and 11 ribs, scapula, and vertebral bodies. 3. The mandibular CT and PNS MRI showed the swelling of the left mandible and the enlargement of the several lymph node s of 1.5 cm in size. 4. Histopathologically, many solid epidermoid type cells were mixed with mucus-secreting cells and they were arranged i n duct-like structure. Most of them were epidermoid type, which indicates a high grade tumor. Mucins could be found in mucicarmine staining.

MeSH Terms

Carcinoma, Mucoepidermoid*
Fistula
Humans
Lymph Nodes
Magnetic Resonance Imaging
Male
Mandible*
Middle Aged
Molar
Mucins
Neoplasm Metastasis*
Ribs
Scalp
Scapula
Suppuration
Mucins