Recurrent and fatal epithelial–myoepithelial carcinoma of the parotid

Epithelial–myoepithelial carcinoma (EMC) is a rare tumour of the salivary glands typically arising in the parotid. It is recognized as a low-grade malignant tumour that is prone to local recurrence and may metastasise. We report on a case of EMC of the parotid gland that recurred three times in a 16-month period. Although tumour resections were performed in each recurrence and tumour-free margins were always obtained, the patient died nearly 9 years after the initial diagnosis with brain metastases. Diagnosis, clinical behaviour and treatment of EMC are also reviewed. Level of Evidence: Level V, therapeutic study