PMID- 34721908 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211102 IS - 2090-6447 (Print) IS - 2090-6455 (Electronic) VI - 2021 DP - 2021 TI - A Case of Buccal Clear Cell Carcinoma Caused by Rare Fusion Gene: EWSR1-CREM. PG - 5557247 LID - 10.1155/2021/5557247 [doi] LID - 5557247 AB - Clear cell carcinoma (CCC) is a rare entity in the salivary gland tumor. So far, only 10 cases of primary CCC of the buccal mucosa have been reported. Here, we first report an extremely rare case of buccal CCC with the EWSR1-CREM fusion gene. The patient, a 69-year-old woman, presented with a painless mass in the right buccal mucosa. The tumor, which had been present for about 10 years, measured approximately 15 mm in diameter and was pedunculated, elastic hard, smooth, and mobile. Histopathological examination revealed proliferating tumor cells with vacuolated and clear cytoplasm partially surrounded by hyalinized stroma. The tumor was not encapsulated, and no contact with the overlying epithelium was evident. Duct-like structures were occasionally observed in the tumor nests composed of clear cells. The tumor had invaded into surrounding muscle and adipose tissues. Immunohistochemical examination revealed that the clear cells were positive for epithelial cell markers, and myoepithelial markers were negative. Fluorescence in situ hybridization (FISH), performed to search for genetic abnormalities, demonstrated split positivity for EWSR1, and fusion with CREM was confirmed. These findings suggested a diagnosis of CCC. CI - Copyright (c) 2021 Miyako Hoshino et al. FAU - Hoshino, Miyako AU - Hoshino M AUID- ORCID: 0000-0002-5628-8942 AD - Division of Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Inoue, Katsuyuki AU - Inoue K AD - Second Division of Oral and Maxillofacial Surgery, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Kaneda, Tomohisa AU - Kaneda T AD - Second Division of Oral and Maxillofacial Surgery, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Nishimura, Michiko AU - Nishimura M AD - Division of Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Kusama, Kaoru AU - Kusama K AD - Division of Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Sakashita, Hideaki AU - Sakashita H AD - Second Division of Oral and Maxillofacial Surgery, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. FAU - Sato, Yukiko AU - Sato Y AUID- ORCID: 0000-0003-4277-0161 AD - Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. AD - Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. FAU - Takeuchi, Kengo AU - Takeuchi K AD - Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. AD - Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. AD - Pathology Project for Molecular Targets, Cancer Institute, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo 135-8550, Japan. FAU - Nagao, Toshitaka AU - Nagao T AD - Department of Anatomic Pathology, Tokyo Medical University, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan. FAU - Kikuchi, Kentaro AU - Kikuchi K AUID- ORCID: 0000-0001-7869-6595 AD - Division of Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama 350-0283, Japan. LA - eng PT - Case Reports DEP - 20211020 PL - Egypt TA - Case Rep Dent JT - Case reports in dentistry JID - 101573242 PMC - PMC8550837 COIS- All authors have no conflicts of interest to declare. EDAT- 2021/11/02 06:00 MHDA- 2021/11/02 06:01 PMCR- 2021/10/20 CRDT- 2021/11/01 09:19 PHST- 2021/02/01 00:00 [received] PHST- 2021/06/23 00:00 [revised] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/11/01 09:19 [entrez] PHST- 2021/11/02 06:00 [pubmed] PHST- 2021/11/02 06:01 [medline] PHST- 2021/10/20 00:00 [pmc-release] AID - 10.1155/2021/5557247 [doi] PST - epublish SO - Case Rep Dent. 2021 Oct 20;2021:5557247. doi: 10.1155/2021/5557247. eCollection 2021.