DOI: 10.36347/sjmcr.2018.v06i08.010

Pages: 528-531

Epithelial–myoepithelial carcinoma is an uncommon and low-grade malignant tumor, arisen most frequently in the salivary glands. It represents 1% of malignant tumors of salivary glands. The extraoral location is rarely reported in the literature, and nasal cavities represent one of the most unusual sites for these tumors. Originally was described in 1972 by Donath and al. It is essentially a tumor of older adults, with female predominance. Epithelial–myoepithelial carcinoma is a low-grade malignant tumor, because it has low rate of recurrence, and rare distant metastases. The treatment of choice is surgical resection with wide margins, and postoperative radiotherapy has been tried to prevent local recurrence. The prognosis of nasal cavities location is not well known, because the number of cases published is limited, but it seems to be good because in published cases, no recurrence or metastasis has been reported in this location. We report a case of a voluminous epithelial–myoepithelial carcinoma arisen in the left nasal cavity of a 59-year-old man, with review of literature. The patient underwent oncological surgery, with total excision of the tumor by lateral rhinotomy approach, and received adjuvant radiotherapy. He had neither recurrence nor metastasis, with a follow-up of 24 months after surgery. The purpose of this study is to describe the pathologic, therapeutic features, and prognosis of epithelial–myoepithelial carcinoma occurring in nasal cavities one of the most unusual locations, which is rarely reported in the literature.