类似囊的中央粘膜皮质癌
Yige Liu1, Jiannan Liu1, Chunye Zhang2
1Department of Oral and Maxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Oral diseases
|September 1, 2025
概括
大的囊状中央粘皮瘤 (CC-MEC) 经常模仿囊,导致误诊. 完整的手术切除对于有利的结果至关重要,因为切除具有很高的复发风险.
科学领域:
- 口腔和面病理学
- 癌症学
- 遗传学
背景情况:
- 囊状的中央粘膜皮质癌 (CC-MEC) 在临床上呈现为囊,这给诊断带来了挑战.
- 准确的诊断和适当的治疗对于这种罕见的粘膜皮质癌的治疗至关重要.
研究的目的:
- 分析CC-MEC的临床病理特征
- 评估CC-MEC的治疗策略和患者预后.
- 突出诊断挑战和分子标记物的作用.
主要方法:
- 在2018年至2023年间接受手术治疗的9名被诊断患有CC-MEC的患者的回顾性调查.
- 临床表现,成像发现,组织病理特征和MAML2基因状态的分析.
- 对手术程序,复发率和术后结果的审查.
主要成果:
- 这项研究包括6名女性和3名男性,平均年龄为43.1岁,影响了部和下部.
- 常见的表现包括无痛的胀;成像显示多部位放射性.
- 组织病理学显示有固体的囊性病变;在8个瘤中检测到MAML2分离. 切除导致5名患者复发,而彻底切除导致8名患者没有死亡或复发,结果令人满意.
结论:
- 由于其临床外观,CC-MEC经常被误诊为囊.
- 对于确定的诊断MAML2基因检测至关重要.
- 为获得最佳治疗结果,建议进行完整的手术切除,因为切除等保守的方法与复发的高风险有关.
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