Abstract
Epithelial-myoepithelial carcinomas comprise less than 1 percent of all salivary gland neoplasms, and are considered to be low grade malignant tumors. A 74-year-old female was brought to our de- partment with the chief complaint of recurrent swelling in the left parotid gland and facial nerve pa- ralysis despite undergoing several operations. We performed a total parotidectomy with immediate facial nerve grafting using the sural nerve followed by irradiation therapy of 60Gy. A postoperative histopathological examination revealed epithelial-myoepithelial carcinoma characteristically demon- strating a two layer arrangement of tumor cells. There has been no evidence of local recurrence nor distant metastasis for more than 3 years after performing surgery on this patient. As this carcinoma has a high recurrence rate and may result in distant metastasis even with a low grade malignancy, it is necessary to perform a radical surgical resection and follow up the patients for a long period of time.
