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相關文獻
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頁籤選單縮合
題名 | Primary Malignant Melanoma of the Tongue=舌部原發性惡性黑色素瘤 |
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作者姓名(中文) | 邱天澤; 林新景; 蘇志英; 黃昭誠; | 書刊名 | 長庚醫學 |
卷期 | 25:11 2002.11[民91.11] |
頁次 | 頁764-768 |
分類號 | 416.894 |
關鍵詞 | 惡性黑色素瘤; 舌頭; Malignant melanoma; Tongue; |
語文 | 英文(English) |
中文摘要 | 原發於口腔的惡性黑色素瘤在臨床上是非常少見的。口腔黑色素瘤最常見的位置是?部和齒齦部,唇部其次;舌部的黑色素瘤則極為罕見。本科經歷一名66歲的女性病患,主訴舌部右側一巨大、無痛的黑色斑塊已有七年,因此到本院求診。臉上和其它身體部位並沒有發現類似的黑色病灶且病理組織切片証實為惡性黑色素瘤。電腦斷層發現並無明顯頸部淋巴結轉移。胸部X光、腹部超音波和全身骨骼掃描顯示沒有達隔轉移的現象。患者接受廣泛性腫瘤切除和功能性頸部廓清潔,術後復原良好,追蹤至今逾2年,無復發跡象。原發性舌部惡性黑色素瘤的治療上,宜以廣泛性手術切除為主。為了早期診斷,對於任何口腔中的色素性和非色素性腫塊均需切片檢查。回顧自1970年以來的英文文獻報告,舌部原發性惡性黑色素瘤的個案數少於30個。本文提出一個案報告並做文獻之回溯。 |
英文摘要 | The oral cavity is a rare location for the development of primary malignant melanoma. The most common primary lesion sites are the palate and gingival. Melanoma of the tongue is specifically uncommon. A 66-year-old woman was referred to our clinic with a complaint of a huge, painless, black, discolored mass on the right side of the oral tongue for 7 years. There were no cutaneous lesions suggestive of malignant melanoma over the rest of her body. The biopsy of the tongue lesion revealed a histopathology consistent with primary malignant melanoma. Computed tomography of the neck showed no significant cervical lymphadenopathy. Chest radiograph, whole body bone scanning, and abdominal sonography revealed no definite distal metastatic lesions. She received composite resection of the tumor on the right side of the tongue and right functional neck dissection. The patient had an uneventful recovery and received regular follow-up examinations. She was free of disease for more than 2 years. The treatment principle for primary tongue melanoma is wide surgical excision. Early diagnosis will be promoted by careful oral examination and early biopsy of pigmented and non-pigmented masses. We reviewed the published reports in the English literature since 1970 and fewer than 30 cases of primary tongue melanoma were presented. We present a case report and a review of the relevant literature. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。