Epithelial-myoepithelial carcinoma (EMC) is uncommon, low-grade malignant epithelial neoplasm, and composed of ductal and large, clear-staining myoepithelial differentiated cells. we found four cases of EMC patients among those who visited the dental hospital of Seoul National University from 1998 to 2008. Immunohistochemical staining with epithelial and myoepithelial marker was done to verify the characteristic biphasic cell population. In our cases, the mean age of the patients was 61.5 years, which is consistent with previous reports. However, all the patients were female, and submandibular glands were the most affected sites. This is different from other reports that parotid gland was the most affected sites. There was recurrence and metastasis to lung in one out of four cases.

Epithelial myoepithelial carcinoma(EMC) is an uncommon malignant sali va ry gland neoplasm, compri sing about 1% 。f salivar y gland neoplasms, They are histologically composed 01' biphasic cell s such as myoepithelial cells and ductal cells EMC occurs predominantly in the major salivary glands, par t icularly in the par otid gland, They have been reported to occur onJy 10-15% in t he intraoral minor salivary glands, The authors experi enced 4 cases of EMC in Department of Oral Pathology in Seoul National University Dental Hospital from 1995 to 2007‘ and reported them with revi ew of li terature, They occurred at the age [rom 34 to 75 years with average age of 54, Three cases occurred in f'emale and 1 in male, showing predominant occurrence in female, Al I of them occurred in the f100r of mouth Three patients presented localized swollen mass at the time of admission, One patient manifested pain with surface n ecrotic ulcer, and others did not complain any symptoms, The duration of symptoms before diagnosis has ranged f rom three mont hs to 2 years in our cases Microscopically, they growed in double layered ductal structure composed 。f' ductal cells of the inner luminal layer which showed positive immunohistochemical reaction to cytokeratin and rnyoepithelial cells 01' the outer peripheral layer identifi ed by the positive reactivity to S-100 and srnooth muscle ac tin antibody, They did not show perinem al invasion‘ but invasíve growth into adjacent tissue, AII of them did not show in vasion into t he underlying bOl1e While 3 pat ients were treated with total excision of tω110 1' mass wi thout n。 evidence of recurrence a ncl metastasis, a 75 year old patient gave up receiving t reatment at the t irne of diagnos is, and then died 01' the cancer 5 years after init ial diagnosis, It seems that EMC of the intraoral minor salivary gland is a tumor 01' low grade malignancy with low potent ial of recurrence and metastasis