Metastatic salivary duct carcinoma in cardiac and pleural effusions: A case report with immunocytochemical analysis for androgen receptor and HER2

Ito,Hiroko; Ishida,Mitsuaki; Sando,Kaori; Okano,Kimiaki; Ebisu,Yusuke; Fujisawa,Takuo; Iwai,Hiroshi; Tsuta,Koji

doi:10.3892/mco.2018.1747

January-2019 Volume 10 Issue 1

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Metastatic salivary duct carcinoma in cardiac and pleural effusions: A case report with immunocytochemical analysis for androgen receptor and HER2

Authors:
- Hiroko Ito
- Mitsuaki Ishida
- Kaori Sando
- Kimiaki Okano
- Yusuke Ebisu
- Takuo Fujisawa
- Hiroshi Iwai
- Koji Tsuta
View Affiliations / Copyright

Affiliations: Department of Pathology and Laboratory Medicine, Kansai Medical University, Hirakata, Osaka 573‑1010, Japan, Department of Otolaryngology, Kansai Medical University, Hirakata, Osaka 573‑1010, Japan

Copyright: © Ito et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Pages: 78-82
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Published online on: October 17, 2018

https://doi.org/10.3892/mco.2018.1747
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Abstract

Salivary duct carcinoma (SDC) is a relatively rare highly aggressive salivary gland tumor. Although SDC shows frequent lymph node and distant metastases, the presence of neoplastic cells in the pleural effusion is extremely rare. In this report, we describe the first documented cytological case of metastatic SDC in cardiac and pleural effusions with immunocytochemical analyses for androgen receptor (AR) and human epidermal growth factor receptor (HER)2. A 52‑year‑old Japanese male developed cardiac tamponade and respiratory discomfort after surgery and chemo‑radiation therapy for SDC of the right submandibular gland. Aspiration of the cardiac and pleural effusions was performed. The Papanicolaou‑stained cytological specimens of cardiac and pleural effusions showed that numerous small ball‑like or papillary structures were present in an inflammatory background. The neoplastic cells had rich granular cytoplasm and large round to oval nuclei containing conspicuous nucleoli. Immunocytochemical analyses clearly demonstrated positivity for AR and strong membranous expression of HER2 in the neoplastic cells. Accordingly, a cytodiagnosis of metastatic SDC was made. Recently, HER2‑targeted or AR deprivation therapy have been introduced for patients with SDC, therefore, determination of expression profiles of AR and HER2 may be crucial for developing a treatment strategy for patients with metastatic SDC. According to the results of the present report, immunocytochemical analyses for AR and HER2 in the effusion specimens may be useful for determination of a treatment strategy for patients with metastatic SDC.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Metastatic salivary duct carcinoma in cardiac and pleural effusions: A case report with immunocytochemical analysis for androgen receptor and HER2

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