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頁籤選單縮合
題名 | Cheek Mass as a Presentation of Metastatic Rectal Cancer=以臉頰腫塊表現之直腸癌轉移 |
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作者 | 許軒之; 黃英彥; 邢福柳; Hsu, Hsuan-chih; Huang, Eng-yen; Eng, Hock-liew; |
期刊 | 長庚醫學 |
出版日期 | 20020500 |
卷期 | 25:5 2002.05[民91.05] |
頁次 | 頁345-348 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 臉頰轉移; 遠處轉移; 直腸癌; Cheek metastasis; Distant metastasis; Rectal carcinoma; |
中文摘要 | 大腸直腸癌轉移至臉頰是非常罕見的,今報一79歲女性直腸癌患者經腫瘤及淋巴結摘除術,疾病期別依照AJCC 1997分期為T3N0M0,手術後49個月病人發現右側臉頰腫大且迅速長大,電腦斷層顯示為一5[]5公分大之腫塊位於顳下窩處,將右側咬肌推擠至旁,並且右側下頷骨也被侵犯,經切片證實為一轉移性的腺癌,且病理型態與原發直腸癌的病理型態類似,此病人同時合併有骨頭、肺臟及肝臟之轉移。病人接受臉部腫塊之放射線治療,但不幸於療程中病逝。回顧文獻記載,直腸癌轉移以臉頰腫塊表現是十分罕見的,且代表此疾病已廣泛而嚴重的蔓延全身,其預後是非常差的。 |
英文摘要 | Cheek metastasis from colorectal cancer is very unusual. We report on a 79-year-old female rectal cancer patient who underwent low anterior resection and lymph node dissection. The initial stage for this patient was T3N0M0 (by AJCC 1997). Postoperatively 49 months later, she presented with a right cheek mass that progressively enlarged within 2 weeks. Computed tomographic (CT) scan showed a well-defined 5[]5-cm mass over the right parotid space and infratemporal fossa. The tumor was noted to be displacing the right masseter muscle laterally with obliteration of the medial border. In addition, destruction of the right mandible was also noted. Histology of this right cheek mass revealed it to be a metastatic adenocarcinoma, which was similar to that of the primary rectal adenocarcinoma. Multiple metastases including to the bone, lung, and liver were also found. The patient only underwent radiotherapy to the right cheek mass because of its rapid growth. Chemotherapy was not considered due to her advanced age. She did not complete the entire radiation therapy course because she expired. In our review, this is a very rare case presenting with cheek mass metastasis from rectal carcinoma. It was associated with widespread and aggressive disease due to rectal cancer. |
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