頁籤選單縮合
題 名 | 上顎牙齦梭狀上皮細胞癌--病例報告=Spindle Cell Carcinoma of Maxillary Gingiva--A Case Report |
---|---|
作 者 | 游竣傑; 林宏政; 吳哲輝; 莊世昌; 吳木榮; 張明智; 李嘉鐸; 吳和泰; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 25:2 2014.06[民103.06] |
頁 次 | 頁137-148 |
分類號 | 416.954 |
關鍵詞 | 梭狀上皮細胞癌; 上顎牙齦; Spindle cell carcinoma; Maxillary gingiva; |
語 文 | 中文(Chinese) |
中文摘要 | 在頭頸部的惡性腫瘤中,梭狀上皮細胞癌是一種相當罕見且具有強烈侵犯性的上皮細胞癌。它發病後進展快速且在口腔內並不多見,須由病理科花費相當時間才能做出鑑別診斷,因此常延遲介入治療的時機。本病例是一位51歲女性,於上顎右側牙齦有一腫塊,外觀呈現紅色、質地柔軟、表面平滑、大小約1 x 1平方公分。切片結果是梭狀細胞惡性腫瘤,無法判斷是肉瘤或是上皮細胞癌。安排開刀時,明顯的莖狀肉芽腫塊已延伸至右上顎大臼齒側及頰側牙齦,外觀呈深紅和紫色、平滑的表面混合著潰瘍、有硬結觸感、大小約5 x 5平方公分。手術方式採取廣泛性腫瘤切除術合併部分上、下顎骨切除,並接受大腿前外側游離皮瓣重建。術後接受輔助性放射線治療和化學治療。口腔內的梭狀上皮細胞癌在臨床上較難診斷且文獻中較少見,故此次提出此病例做相關討論,以為日後治療的參考。 |
英文摘要 | Spindle cell carcinoma is an uncommon, highly malignant variant of the head and neck carcinoma. Because of its aggressiveness and lack of clinical presentations within the oral cavity, it often requires more extensive histopathology findings. Thus, more time consuming and delays the treatment of the disease. Herein, a case of spindle cell carcinoma with gingival swelling located at the maxillary right molar region of 51 year-old Taiwanese female patient was presented. The clinical presentation was a 1 cm x 1 cm, elastic, soft and red gingival swelling at right maxilla. After the initial biopsy was performed, the histopathology report revealed a spindle cell carcinoma, by then the carcinomas had already encroached to the right maxillary molar and buccal gingival space, clinical presentation illustrated 5 cm x 5 cm, purplish-red, firm and rubbery ulceration. We adopted partial maxillectomy, marginal mandibulectomy, and tumor wide excision, in conjunction with anteriolateral thigh flap reconstruction and the patient received postoperative radiation therapy and chemotherapy. We present this rare tumor within the oral cavity to contribute in part to improve the awareness and understanding of this malignancy. |
本系統中英文摘要資訊取自各篇刊載內容。