MR imaging features of mammary analogue secretory carcinoma and acinic cell carcinoma of the salivary gland: a preliminary report.

Abstract

OBJECTIVES:

To report MR imaging features of mammary analogue secretory carcinoma (MASC) and acinic cell carcinoma (AciCC) of the salivary gland based on the latest version of the World Health Organization (WHO) 2017 classification of head and neck tumours.

METHODS:

MR images in 4 patients with MASC and 4 with AciCC were reviewed for margin characteristics, the presence of pathological cervical nodes, the presence of a cystic component and interface between cystic and solid component, signal intensity of the cystic components on T1 weighted images, and signal intensity of the solid component on T1 and T2 weighted images.

RESULTS:

All the MASCs and AciCCs had well-defined boundaries, and 1 AciCC had pathological nodes. All 4 MASCs presented as predominantly cystic tumours with papillary projection of the solid component. All 4 AciCCs presented as solid tumours. The signal intensity of the cystic components on T1 weighted images was entirely hyperintense in 2, and partly hyperintense demonstrating fluid-fluid level in 2. In all the MASCs, the signal intensity of the solid components on T1 weighted images was intermediate. In the AciCCs, the signal intensity of the solid components on T1 weighted images was high in 2 tumours and intermediate in 2. The signal intensity of the solid components on T2 weighted images varied from low to high in both MSACs and AciCCs.

CONCLUSIONS:

All 4 MASCs had a large cystic component, including areas of high signal intensity on T1 weighted images. The solid component appeared as a papillary projection into the cystic component. All 4 AciCCs presented as solid tumours, 2 of which showed high signal intensity on T1 weighted images.

• Authors: Nobuo Kashiwagi, Shin Ichi Nakatsuka, Takamichi Murakami, Eisuke Enoki, Kazuhiro Yamamoto, Katsuyuki Nakanishi, Takaaki Chikugo, Yoshitaka Kurisu, Masatomo Kimura, Tomoko Hyodo, Akio Tsukabe, Takahide Kakigi, Yasuhiko Tomita, Kazunari Ishii, Yoshifumi Narumi, Yukinobu Yagyu, Noriyuki Tomiyama
• Journal: Dento maxillo facial radiology (Dentomaxillofac Radiol) Vol. 47 Issue 5 Pg. 20170218 (Jul 2018) ISSN: 0250-832X [Print] England
• PMID: 29493279 (Publication Type: Journal Article)

Topics

• Adolescent
• Adult
• Aged
• Carcinoma, Acinar Cell (diagnostic imaging, pathology)
• Diagnosis, Differential
• Female
• Humans
• Magnetic Resonance Imaging (methods)
• Male
• Mammary Analogue Secretory Carcinoma (diagnostic imaging, pathology)
• Middle Aged
• Salivary Gland Neoplasms (diagnostic imaging, pathology)