Mixed epithelial and stromal tumor of the middle ear: The first case report.

Abstract:

:We report a tumor arising in the middle ear of a 65-year-old female patient that was composed of an ovarian-type stroma (OS) and an epithelial component. The tumor consisted of irregular, polypoid masses containing multiple variably sized cystic spaces, which were invariably surrounded by the OS. The cystic spaces were lined by flat, cuboidal, or columnar epithelial cells, in most parts showing mucinous differentiation. The epithelial lining of the cysts strongly expressed cytokeratins AE1-3, CK7, CK8, CK18, CK19, EMA, and S100 protein. The stroma expressed CD34 and smooth muscle actin. No cytological atypia or mitoses were present, and the proliferative activity was less than 1% in both components. The clonality analysis proved the clonal nature of the neoplasm. We believe that this tumor is a new member in the family of neoplasms containing the OS, and therefore we propose the term mixed epithelial and stromal tumor of the middle ear.

journal_name

Hum Pathol

journal_title

Human pathology

authors

Michal M,Skálová A,Kazakov DV,Pecková K,Heidenreich F,Grossmann P,Michal M

doi

10.1016/j.humpath.2016.09.020

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

199-204

eissn

0046-8177

issn

1532-8392

pii

S0046-8177(16)30244-1

journal_volume

61

pub_type

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