內視鏡手術切除鼻咽部腺樣囊狀癌

Endoscopic Surgery for Adenoid Cystic Carcinoma of the Nasopharynx

邱盛璋(Sheng-Chang Chiu) ； 陳穆寬(Mu-Kuan Chen)

《台灣耳鼻喉頭頸外科雜誌》 45卷6期 (2010/12) Pp. 179-181

https://doi.org/10.6286/2010.45.6.179

摘要

腺樣囊狀癌(adenoid cystic carcinoma)是唾液腺癌中較常見的組織型態，但在鼻咽癌中則是較少見。鼻咽部腺樣囊狀癌在治療上以手術爲主要方法並輔以放射線治療。本科於2008年12月經歷1名57歲男性病患，主訴左耳耳塞約3個月，耳鏡檢查正常，鼻咽內視鏡檢查發現靠近鼻咽的左外側壁處有一灰白色腫塊。切片病理報告爲腺樣囊狀癌。核磁共振發現一個約2.75×2.2cm腫瘤位於鼻咽部的左外側壁。這位患者以經鼻內視鏡手術的方式將整個腫瘤切除並且在術後接受放射線治療。患者無手術相關的併發症產生，目前追蹤11個月，未有局部復發的情形。

關鍵字

腺樣囊狀瘤 ； 內視鏡 ； 鼻咽

並列摘要

Adenoid cystic carcinoma is a common malignancy of the salivary glands. Adenoid cystic carcinoma of the nasopharynx is very rare. The mainstay treatment is surgery with postoperative radiation therapy. We encountered a 57 year-old male with 3- month history of left ear fullness. Otoscopy revealed no abnormal finding and nasopharyngoscopy revealed a mass on left lateral wall of nasopharynx. Biopsy pathology was adenoid cystic carcinoma. MRI showed a 2.75×2.2 cm bulging mass on left lateral wall of nasopharynx with well-defined margin. The tumor was removed successfully by transnasal endoscopic surgery. The patient has been routinely followed up for 11 months, and without local recurrence.

並列關鍵字

adenoid cystic carcinoma ； endoscope ； nasopharynx