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| 題 名 | Oral Spindle Cell Carcinoma Presented as a Deep Neck Infection in a Patient with Type 2 Diabetes Mellitus--A Rare Case Report=口腔梭狀細胞癌合併糖尿病與深頸部感染--罕見病例報告 |
|---|---|
| 作 者 | 朱晃照; 林志恭; 謝義興; 王宜斌; 陳元武; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
| 卷 期 | 26:3 2015.09[民104.09] |
| 頁 次 | 頁207-213 |
| 分類號 | 416.954 |
| 關鍵詞 | 口腔梭狀細胞癌; 糖尿病; 深頸部感染; Oral spindle cell carcinoma; Deep neck infection; Diabetes mellitus; |
| 語 文 | 英文(English) |
| 中文摘要 | 糖尿病患之感染易產生併發症,若惡性腫瘤病患合併糖尿病與深頸部感染作為臨床表徵時,更增加診斷與治療的困難度。本篇報告一曾發生過嚴重深頸部感染的糖尿病患,再度經急診以嚴重感染入院。於傷口清創時,意外發現梭狀細胞癌。病患有系統性疾病合併有嚴重感染,且拒絕接受手術治療,亦拒絕接受化學治療與放射治療。經兩個月的緩和治療後,因嚴重敗血性休克而死亡。 |
| 英文摘要 | Oral cancer is relatively superficial and more easily detectable than other malignancies. Most patients with oral cancer receive medical treatment, because lesions appear in their oral cavity. Cancer can increase the risk of contracting a severe infection, which may mask cancer detection. Here, we present a rare case of oral cancer presented as a deep neck infection; the case provides useful insights for clinical application. A 58-year-old woman with a history of poorly controlled hyperglycemia was sent to our emergency room because of a severe deep neck infection. After tracing her medical history, we found that she had developed a severe cellulitis of the right face with sepsis 8 months previously. On examining her neck infection, the left buccal, submandibular space and neck area were swollen with sepsis again. A considerable amount of pus had accumulated in the left submandibular space, as detected using computed tomography. Urgent incision and drainage were performed, and some necrotic tissue was collected for pathological examinations. The spindle cell carcinoma, a rare and lethal malignancy with neck metastasis, was diagnosed. Cancer progressed fairly rapidly, and the patient expired 2 months later. |
本系統中英文摘要資訊取自各篇刊載內容。