PMID- 28637362 OWN - NLM STAT- MEDLINE DCOM- 20180627 LR - 20201209 IS - 1940-2465 (Electronic) IS - 1066-8969 (Linking) VI - 25 IP - 8 DP - 2017 Dec TI - Spindle Cell Mucoepidermoid Carcinoma of the Palatine Tonsil With CRTC1-MAML2 Fusion Transcript: Report of a Rare Case in a 17-Year-Old Boy and a Review of the Literature. PG - 705-710 LID - 10.1177/1066896917714890 [doi] AB - Mucoepidermoid carcinoma (MEC) with a predominant spindle cell composition occurring in the palatine tonsil is exceedingly rare. We present a case of a 17-year-old boy with an uncommon spindle cell variant of MEC arising in the palatine tonsil. Histologically, the tumor showed a solid, noncystic architecture and was composed of a predominant population of bland spindle to fusiform cells arranged in organoid nests with interspersed goblet cells and focal areas of ductular structures. Reverse transcriptase polymerase chain reaction and fluorescence in situ hybridization (FISH) revealed the presence of a t(11;19) CRTC1-MAML2 gene fusion in this rare variant of MEC. This is the first case report of a spindle cell MEC of the palatine tonsil, with molecular genetic confirmation. It illustrates the importance of awareness and recognition of this uncommon histological variant of MEC, which will help establish appropriate treatment and prognostication. FAU - Goh, Giap Hean AU - Goh GH AD - 1 National University Health System, Singapore. FAU - Lim, Chwee Ming AU - Lim CM AD - 1 National University Health System, Singapore. FAU - Vanacek, Tomas AU - Vanacek T AD - 2 Bioptical Laboratory, Pilsen, Czech Republic. FAU - Michal, Michal AU - Michal M AD - 2 Bioptical Laboratory, Pilsen, Czech Republic. FAU - Petersson, Fredrik AU - Petersson F AD - 1 National University Health System, Singapore. LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20170621 PL - United States TA - Int J Surg Pathol JT - International journal of surgical pathology JID - 9314927 RN - 0 (CRTC1 protein, human) RN - 0 (DNA-Binding Proteins) RN - 0 (MAML2 protein, human) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Trans-Activators) RN - 0 (Transcription Factors) SB - IM MH - Adolescent MH - Carcinoma, Mucoepidermoid/*genetics/*pathology MH - DNA-Binding Proteins/*genetics MH - Humans MH - Male MH - Nuclear Proteins/*genetics MH - Oncogene Proteins, Fusion/genetics MH - Palatine Tonsil/pathology MH - Tonsillar Neoplasms/*genetics/*pathology MH - Trans-Activators MH - Transcription Factors/*genetics OTO - NOTNLM OT - CRTC1-MAML2 OT - mucoepidermoid carcinoma OT - palatine tonsil OT - salivary gland carcinoma OT - spindle cell EDAT- 2017/06/24 06:00 MHDA- 2018/06/28 06:00 CRDT- 2017/06/23 06:00 PHST- 2017/06/24 06:00 [pubmed] PHST- 2018/06/28 06:00 [medline] PHST- 2017/06/23 06:00 [entrez] AID - 10.1177/1066896917714890 [doi] PST - ppublish SO - Int J Surg Pathol. 2017 Dec;25(8):705-710. doi: 10.1177/1066896917714890. Epub 2017 Jun 21.