Epithelial Myoepithelial Carcinoma of the Submandibular Salivary Gland

Epithelial myoepithelial carcinoma is a rare low grade malignant salivary gland neoplasm that most commonly occurs in the parotid gland but can also arise in minor salivary glands. We report a case of primary epithelial myoepithelial carcinoma of submandibular salivary gland in a 65 year old female who presented with left cheek swelling of six months duration. CT scan revealed a localized submandibular salivary gland tumour mass not involving surrounding tissues. Histological examination showed a mixture of ductal elements: cuboidal cells bordering small lumina surrounded by polygonal clear cells of myoepithelial component without any evidence of nuclear atypia or mitotic figures.