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題 名 | Successful Treatment of Malignant Mixed Tumor on the Left Soft Palate by Conservative Surgical Resection--A Case Report=以保守性手術成功治療左側軟腭惡性混合瘤--病例報告 |
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作 者 | 劉家旗; 林志恭; 朱晃照; 余滋照; 陳元武; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷 期 | 28:2 2017.06[民106.06] |
頁 次 | 頁129-136 |
分類號 | 416.954 |
關鍵詞 | 惡性混合瘤; 軟腭; Malignant mixed tumor; Soft palate; |
語 文 | 英文(English) |
中文摘要 | 惡性混合瘤根據國際衛生組織的分類可分爲三個亞型,分別爲癌肉瘤、惡性多型性腺瘤、轉移性多型性腺瘤。臨床實務與治療主要依據美國國家癌症治療聯盟2016年版的治療指引。病患在過去病史上通常具有唾液腺病變的相關病史;臨床理學檢查方面,發生在小唾液腺的惡性混合腫瘤通常具有潰瘍或鱗狀上皮細胞癌的外觀;影像診斷上,電腦斷層攝影和磁振造影在評估惡性混合腫瘤侵犯程度與分期是必要的。手術治療上,手術邊緣無腫瘤殘留是目前被廣泛接受的。術後依據惡性混合瘤的病理分期與切除邊缘乾淨與否,輔助性放射線治療可以改善局部腫瘤控制和轉移性復發。此篇病例報告爲發生於左側軟腭的小唾液腺惡性混合瘤。術中經冷凍病理切片確認手術邊緣無殘餘腫瘤後,進行黏膜皮瓣重建。術後考量病患臨床分期爲前期及生活品質,不給予病患術後放射線治療。連續追蹤4年,手術區域組織癒合良好,無復發跡象。頸部無淋巴結腫大。 |
英文摘要 | Malignant mixed tumors are divided into three subclasses: carcinosarcoma, carcinoma ex pleomorphic adenoma, and metastasizing pleomorphic adenoma. There is an established flow charts for evaluation and treatment of salivary tumors in the National Comprehensive Cancer Network 2016 guidelines. Surgical resection with negative margins is currently the most widely accepted treatment for malignant mixed tumor. Postoperative adjuvant radiotherapy is beneficial to improve local tumor control and to limit metastatic recurrence. In the patient, there was a malignant mixed tumor on the left soft palate. She has a history of pleomorphic adenoma on the same place. Tumor excision with negative margin and mucosa flap reconstruction were performed. Although postoperative adjuvant radiation therapy was recommended, the patient refused the postoperative adjuvant radiation therapy due to quality of life. The skin graft was integrated to mucosa during the 4-year follow-up without scar constriction or other complications. |
本系統中英文摘要資訊取自各篇刊載內容。