Abdulwahid M. Salih, Hiwa O. Baba, Ari M. Abdullah, Rebaz O. Mohammed, Mariwan L. Fattah, Imad J. Habibullah, Sarwat T. San Ahmed, Hawbir A. Muhammed and 6 more
Introduction Epithelial-myoepithelial carcinoma (EMC) is a rare, biphasic malignant tumor affecting the salivary glands. It represents less than 1% of all salivary gland tumors. This study aims to present a single-center experience regarding the diagnosis, management, and prognosis of EMC. Methods This study was…
Epithelial-Myoepithelial Carcinoma of Salivary Glands: A Tertiary Center Experience
Abdulwahid M. Salih, Hiwa O. Baba, Ari M. Abdullah, Rebaz O. Mohammed, Mariwan L. Fattah, Imad J. Habibullah, Sarwat T. San Ahmed, Hawbir A. Muhammed and 6 more
IntroductionEpithelial-myoepithelial carcinoma (EMC) is a rare, biphasic malignant tumor affecting the salivary glands. It represents less than 1% of all salivary gland tumors. This study aims to present a single-center experience regarding the diagnosis, management, and prognosis of EMC.
MethodsThis study was conducted between February 2020 and December 2025. Patients with a histopathologically confirmed diagnosis of epithelial-myoepithelial carcinoma were identified. Complete medical records containing demographics, clinical presentation, imaging results, histological features, treatment approaches, and follow-up results were included in the cases.
ResultsFive patients were identified, of which 4 (80%) were females. The mean age was 56 ± 9.38 years. Two patients (40%) presented with painless post-auricular swelling, 1 (20%) with submandibular swelling, and 2 (40%) were incidental findings. Histopathological examination confirmed EMC in all cases. Free margins were achieved in 3 tumors (60%). No recurrence was observed during a mean follow-up of 24 ± 28.92 months.
ConclusionEpithelial-myoepithelial carcinoma is a very rare tumor. It requires histopathological evaluation for accurate diagnosis, and complete surgical excision offers favorable short-term outcomes. Further studies are needed to better define its clinical characteristics and outcomes.
Fahmi H. Kakamad, Harem K. Ahmed, Ali H. Hasan, Ahmed H. Ahmed, Ayoob A. Mohammed, Dindar H. Hama, Hiwa O. Abdullah, Sasan M. Ahmed and 5 more
Introduction Given the rarity of chest wall hydatid disease, information on this condition is primarily drawn from case reports. Hence, this study systematically reviews the disease's manifestation and management. Methods Google Scholar was searched with the following keywords: (hydatid OR hydatidosis OR tapeworms OR…
Fahmi H. Kakamad, Harem K. Ahmed, Ali H. Hasan, Ahmed H. Ahmed, Ayoob A. Mohammed, Dindar H. Hama, Hiwa O. Abdullah, Sasan M. Ahmed and 5 more
IntroductionGiven the rarity of chest wall hydatid disease, information on this condition is primarily drawn from case reports. Hence, this study systematically reviews the disease's manifestation and management.
MethodsGoogle Scholar was searched with the following keywords: (hydatid OR hydatidosis OR tapeworms OR echinococcosis OR echinococcus OR granulosus AND chest OR wall OR thoracic OR thorax OR rib OR sternum OR sternal OR cartilage OR intercostal OR extra-pulmonary). Inclusion criteria involved a confirmed diagnosis of chest wall hydatid cyst. Only English-language studies published in legitimate journals were included.
ResultsThe reported cases were primarily from Turkey (41.5%). The mean age of the patients was 39.7 ± 17.1 years, with a male predominance (56.9%). The most common clinical presentations were swelling (47.1%) and chest or abdominal pain (45.1%). Only 10 cases (19.6%) had reported a history of animal contact. Among those with documented residency (35.3%), 16 (31.4%) resided in rural areas. The average mass size on the CT scan was 7.5 ± 2.4 cm. Surgery was the treatment of choice, with thoracotomy performed in 37.3% of cases, video-assisted thoracoscopy in 1.9%, and the surgical technique not specified in 60.8% of cases. The mean hospital stay was 8.6 ± 4.4 days, and no recurrences were reported.
ConclusionDespite its rarity, chest wall hydatid cyst may have a good prognosis with few complications. Given its often-nonspecific presentation, reviewing the patient's medical history may help establish an accurate provisional diagnosis.
