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Case Reports
. 2019 Mar 27:2019:2074504.
doi: 10.1155/2019/2074504. eCollection 2019.

Secretory Carcinoma of Minor Salivary Gland in Buccal Mucosa: A Case Report and Review of the Literature

Durga Paudel  1 , Michiko Nishimura  1 , Bhoj Raj Adhikari  1 , Daichi Hiraki  1 , Aya Onishi  1 , Tetsuro Morikawa  1 , Puja Neopane  1 , Sarita Giri  2 , Koki Yoshida  1 , Jun Sato  1 , Masayuki Ono  3 , Yoshitaka Kamino  3 , Hiroki Nagayasu  4 , Yoshihiro Abiko  1
Affiliations
Case Reports

Secretory Carcinoma of Minor Salivary Gland in Buccal Mucosa: A Case Report and Review of the Literature

Durga Paudel et al. Case Rep Pathol. .

Abstract

Secretory carcinoma (SC) of the salivary gland was recently added to the fourth edition of the World Health Organization classification of head and neck tumors. Some salivary tumors, including acinic cell carcinoma, have been reclassified as SC. Most of these tumors are located on the parotid gland with very few cases reported in the minor salivary glands of the buccal mucosa. Herein, we present a case of SC of buccal mucosa, which appeared clinically as a benign lesion in a 54-year-old Japanese female patient. Histopathologically, the tumor cells presented with an eosinophilic cytoplasm with microcytic structure along with eosinophilic secretory material and hemosiderin deposit. Immunohistochemical staining revealed strongly positive staining for S100, vimentin, and mammaglobin and negative staining for DOG-1. The tumor was finally diagnosed as secretory carcinoma of the buccal mucosa. We present a review of the medical literature of SC arising from minor salivary glands. We found only 15 cases of SC of buccal mucosa out of 63 cases of SC in the minor salivary glands. They showed good prognoses and only one case of SC in the buccal mucosa exhibited local recurrence and lymph node metastases.

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Figures

Figure 1
Figure 1
Clinical presentation of the tumor. Surgical scar on left buccal mucosa (seen inside circle) (a). The residual tumor after excision (b).
Figure 2
Figure 2
Histopathological features of SC. The excised tissue with areas of minor salivary gland (shown in inset) (a). The mass was composed of tumor cells with eosinophilic cytoplasm and had a microcystic, tubular, papillary cystic structure with eosinophilic secretory material (b, c). Few areas with hemosiderin deposition were also recognized (c). The secretory component stained positive for d-PAS (d).
Figure 3
Figure 3
Immunohistochemical staining of the tissues. The cells were strongly positive for vimentin (a), S-100 (b), and mammaglobin (c), but negative for DOG-1 (d).
See this image and copyright information in PMC

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