{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:10:10Z","timestamp":1756285810034,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,1,3]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Myoepithelial carcinoma (MC) is a rare salivary gland malignancy that usually affects people over the age of 50. The incidence is similar in both men and women. MC might develop de novo or within a pre-existing benign myoepithelioma or pleomorphic adenoma. Reports on MC clinical behaviour differ. Here, we present the case of a female patient in her 60s who had surgery for parotid gland MC. Seven years after parotidectomy, a distant metastasis was found in the sixth left rib, and she underwent a metastasectomy. Nine years after the initial surgery, another distant metastasis was detected in the fifth right rib, and a second metastasectomy was performed. Throughout this period, there was no locoregional recurrence of the disease. This case highlights the need for continued research on the clinical behaviour of salivary glands MC and the importance of regular and long follow-up and monitoring for distant metastases.<\/jats:p>","DOI":"10.1136\/bcr-2024-260591","type":"journal-article","created":{"date-parts":[[2025,1,23]],"date-time":"2025-01-23T21:20:25Z","timestamp":1737667225000},"page":"e260591","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Late-onset distant metastasis in parotid gland myoepithelial carcinoma"],"prefix":"10.1136","volume":"18","author":[{"given":"Boris","family":"Kos","sequence":"first","affiliation":[{"name":"Department of Maxillofacial Surgery, Dubrava University Hospital, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petar","family":"Suton","sequence":"additional","affiliation":[{"name":"Department of Oncology and Radiotherapy, Dubrava University Hospital, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danko","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Pathology and Cytology, Dubrava University Hospital, Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9138-2037","authenticated-orcid":false,"given":"Ivica","family":"Luk\u0161i\u0107","sequence":"additional","affiliation":[{"name":"Department of Maxillofacial Surgery, Dubrava University Hospital, Zagreb, Croatia"},{"name":"School of Medicine, University of Zagreb, Zagreb, Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,1,23]]},"reference":[{"key":"2025082701572587000_18.1.e260591.1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.annpat.2024.02.005","article-title":"Salivary gland tumors: 2022 WHO blue book and beyond","volume":"44","author":"L\u00e9pine","year":"2024","journal-title":"Ann Pathol"},{"key":"2025082701572587000_18.1.e260591.2","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1002\/path.1711680115","article-title":"World health organization international histological classification of tumours: Histological typing of salivary gland tumours. 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Development and Validation of Nomograms to Predict Risk and Prognosis in Salivary Gland Carcinoma Patient with Distant Metastases. 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