Laryngeal true malignant mixed tumor
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Published on: August 2, 2024
Francesco Stomeo1, Paolo Cossu Rocca, Corrado Bozzo
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Ferrara, 44100 Ferrara, Italy. fstomeo@libero.it
Background:
True malignant mixed tumor, also known as carcinosarcoma, is a salivary gland type malignant neoplasm, which is extremely rare, and only a few cases arising in the larynx have been previously reported.
Methods And Results:
We report a case of true malignant mixed tumor arising in the larynx of a 65-year-old woman successfully treated with surgery. Histologically, the neoplasm was composed of variably mixed, neoplastic glandular, spindle, and chondroid tissues. Immunohistochemical analyses showed a peculiar expression of myoepithelial markers such as p63 and calponin in the glandular epithelial component, whereas malignant spindle cell proliferation was immunoreactive for calponin and actin.
Conclusion:
These results strengthen the hypothesis that these neoplasms may develop from a divergent differentiation of a totipotent, myoepithelial precursor cell. Despite the unfavorable prognosis that has always been described for these neoplasms, the patient is alive with no evidence of recurrences 5 years after surgery.
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