Epithelial Myoepithelial

Carcinoma
Gross specimen photograph
of epithelial myoepithelial
carcinoma of parotid gland.
Sheets of epithelial-
myoepithelial carcinoma on
incisional biopsy 
Epithelial-
myoepithelia
l carcinoma
showing the
uniquely
characteristi
c pattern of
clear and
ductal cells
Epithelial myoepithelial
carcinoma of parotid
gland.

Classic morphology
showing dual cell
population of epithelial and
myoepithelial cells
Epithelial myoepithelial carcinoma of the parotid gland.

The tumor showed necrosis and perineural invasion.

There were foci of lymphovascular invasion, increased

mitotic activity and severe nuclear atypia (shown) that
were worrisome for high-grade transformation
Epithelial myoepithelial carcinoma of parotid gland.

p63 stains the myoepithelial cells.

Epithelial myoepithelial carcinoma of
parotid gland.

CK19 stains the ductal cells