%0 Case Reports %T Mammary analogue secretory carcinoma: A challenging case arising in a young man with radiation exposure. %A Sivasubramaniam P %A Tiegs-Heiden CA %A Geiersbach KB %A Hagen CE %A Sturgis CD %A Thangaiah JJ %A Hartley CP %J Ann Diagn Pathol %V 57 %N 0 %D Apr 2022 %M 34953444 %F 2.134 %R 10.1016/j.anndiagpath.2021.151862 %X Mammary Analogue Secretory Carcinoma (MASC) is a recently described salivary gland tumor frequently sampled via fine-needle aspiration. The cytologic features of MASC are not entirely distinctive and can simulate acinic cell carcinoma, but the tumor harbors an ETV6 gene rearrangement resulting in an ETV6-NTRK3 fusion gene. We present a case of MASC arising in a 31 year old man with a history of multiple radio-embolization procedures.