頁籤選單縮合
題 名 | 下顎骨骨性肉瘤之病例報告=Osteogenic Sarcoma of the Mandible--A Case Report |
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作 者 | 黃則達; 黃介琦; 蘇裕傑; 張淑美; 李文星; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 15:1 2004.03[民93.03] |
頁 次 | 頁59-74 |
分類號 | 416.954 |
關鍵詞 | 下顎骨; 骨性肉瘤; Osteogenic sarcoma; Mandible; |
語 文 | 中文(Chinese) |
中文摘要 | 頭頸部的惡性腫瘤中,肉瘤 (Sarcoma) 所佔的比例僅在百分之壹左右;而頭頸部肉瘤中,骨性肉瘤 (Osteogenic sarcoma) 僅為少數。本篇報告壹例下顎骨骨性肉瘤病患;病患為25歲女性,求診時主訴為下顎骨有如石頭般之硬性腫塊,腫塊部位包含整個下顎部及其兩側。病患曾壹年半前求診其他醫院並接受三次切除手術;診斷報告分別為下顎骨纖維性發育不良病,及下顎骨骨性肉瘤。經臨床理學檢查及影像學檢查後,診斷為下顎骨聯合部及兩側骨體之骨性肉瘤。病患接受兩側肩胛舌骨肌上淋巴結分離術 (Supraomohyoid neck lymph node dissection)、塊狀下顎骨切除術、口內腫瘤廣泛切除術、及小腿排骨骨 頭皮膚游離皮瓣重建手術。術後恢復良好;病患於術後兩個月再接受化學治療。因下顎骨骨性肉瘤為罕見之病例,故本篇特提出此為患之病症、臨床理學檢查、影像學檢查、治療方式、及追蹤情之情況以提供參考。 |
英文摘要 | Osteogenic sarcoma is a rare disease in the head and neck region. A case of osteogenic sarcoma of the mandible was reported. The 25 year-old female visited our OPD with chief complain of stony hard swelling of whole mandible. In the past one and half years, the patient ever received three operations of this lesion. The pathological reported of these three operations were fibrous dysplasia of mandible, osteogenic sarcoma of mandible and fibrous-osseous lesion of mandible. After physical examination and imaging examination, the osteogenic sarcoma of the bilateral mandible body, angle and symphysis was impressed. The patient received bilateral supraomohyoid neck lymph node dissection, block mandibulectomy, wide excision of tumor, and free fibula osteocutaneous flap reconstruction. The patient also received adjuvant chemotherapy after two months after the operation. The osteogenic sarcoma of mandible is a rare disease, so reported this patient. |
本系統中英文摘要資訊取自各篇刊載內容。