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題名 | 下頜下腺多型性腺瘤中的癌--病例報告=Carcinoma ex Pleomorphic Adenoma of the Submandibular Gland--Case Report |
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作者 | 張澎旭; 蔡銘修; Chang, Perng-shiuh; Tsai, Ming-hsui; |
期刊 | 中華民國耳鼻喉科醫學雜誌 |
出版日期 | 19990100、19990200 |
卷期 | 34:1 民88.01-02 |
頁次 | 頁88-91 |
分類號 | 416.8 |
語文 | chi |
關鍵詞 | 多型性腺瘤中的癌; 惡性混合性瘤; Carcinoma ex pleomorphic adenoma; Malignant mixed tumor; |
中文摘要 | 多型性腺癌(pleomorphic adenoma)為唾液腺最常見的良性腫瘤,但是偶爾也會發 生惡性變化,甚至遠處轉移,尤其是那些長期存在或術後復發的病例。這種情形稱為多型性 腺瘤中的癌(carcinoma ex pleomorphic adenoma)。本文報告一例79歲女性,注意到下頜部 腫塊6年,經手術切除證實為下頜下腺惡性腫瘤。由於下頜的巨大腫瘤較少見,除了提出此 例的臨床過程及治療經過外,並根據相關文獻予以討論。 |
英文摘要 | Pleomorphic adenoma is the most common benign salivary tumor; however, malignant transformation and distant metastases can be found in some of the long persisting or recurrent cases. We report a 79-year-old woman with a giant submandibular mass for over 6 years. She came to our hospital because of rapid growth of the tumor accompanied by pain over the previous 6 months. After surgical removal, the pathology revealed a focus of malignant transformation in the pleomorphic adenoma. She was discharged uneventfully, but local recurrence was suspected 2 years later. Pain and rapid growth are the warning symptoms of the pleomorphic adenoma with malignant change. Surgery is the mainstay of treatment. For early detection of recurrence, a longterm regular follow-up is recommended. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。