J Neurol Surg Rep 2016; 77(04): e156-e159
DOI: 10.1055/s-0036-1593396
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Mucoepidermoid Carcinoma of Palatal Minor Salivary Glands with Intracranial Extension: A Case Report and Literature Review

Rimal Hanif Dossani
1   Department of Neurosurgery, LSUHSC Shreveport, Shreveport, Louisiana, United States
,
Hesam Akbarian-Tefaghi
1   Department of Neurosurgery, LSUHSC Shreveport, Shreveport, Louisiana, United States
,
Lori Lemonnier
2   Department of Otolaryngology/Head and Neck Surgery, LSUHSC Shreveport, Shreveport, Louisiana, United States
,
Vikas Mehta
2   Department of Otolaryngology/Head and Neck Surgery, LSUHSC Shreveport, Shreveport, Louisiana, United States
,
Jamie A. Jacobsohn
3   Department of Pathology, LSUHSC Shreveport, Shreveport, Louisiana, United States
,
Bharat Guthikonda
1   Department of Neurosurgery, LSUHSC Shreveport, Shreveport, Louisiana, United States
› Author Affiliations
Further Information

Publication History

27 March 2016

19 August 2016

Publication Date:
24 October 2016 (online)

Abstract

Mucoepidermoid carcinoma (MEC) is one of the most common malignant tumors of both major and minor salivary glands. Although there are reports of parotid MEC tumors extending intracranially via the facial nerve, intracranial extension from MEC originating from minor salivary glands in the palate has not previously been reported. This report presents a case of MEC arising from the minor salivary glands of the palate and extending into the middle fossa via the foramen rotundum with perineural invasion of the maxillary division of the trigeminal nerve. The patient received surgical intervention via a combined otolaryngology and neurosurgery approach to achieve gross total resection of the tumor. This was followed by adjuvant radiotherapy. The epidemiology, histopathology, and treatment of MEC originating from salivary glands are discussed.