骨内粘膜皮质癌 - - 一种罕见但反复出现的实体的病例系列
Rajat Choudhari1, Pinakin Patel1, Suresh Singh1
1Department of Surgical Oncology, Sawai Man Singh Medical College and Attached Hospitals, Jaipur, Rajasthan 302004 India.
Indian journal of surgical oncology
|March 21, 2025
概括
下的骨内粘膜皮质癌 (MEC) 是罕见的. 手术切除用半巴切除术和辅助放射治疗提供了良好的结果,尽管复发是可能的.
科学领域:
- 在瘤学瘤学.
- 头部和部手术 头部和部手术
- 病理学 病理学 病理学
背景情况:
- 唾液腺瘤占头部和部瘤的3-6%.
- 粘膜皮质腺癌 (MEC) 是最常见的恶性唾液腺瘤.
- 下的骨内MEC是一种罕见的实体,占MEC病例的2-4%.
研究的目的:
- 在一年内报告最大的下骨内MEC单一系列.
- 分析这些罕见瘤的治疗方法和结果.
主要方法:
- 五个骨内MEC病例经过手术治疗的回顾性审查.
- 所有患者都经历了广泛的局部切除术,包括半巴切除术和修改的部激进剖析.
- 重建涉及胸部主要肌皮或长自由.
- 辅助放射治疗在四个病例中进行.
主要成果:
- 所有五位患者的手术结果都很好.
- 三名患者实现了12个月的无病生存期 (DFS).
- 一名患者出现局部复发.
- 骨内MEC通常呈现为无痛的生长,可能侵入口腔.
结论:
- 手术切除与下巴切除术是骨内MEC的主要治疗方法.
- 对于高风险病例,建议进行辅助放射治疗.
- 骨内MEC的预后很好,低度瘤的存活率高达98%.
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