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摘要


脂肪肉瘤(liposarcoma)為一來自脂肪組織的惡性間質性腫瘤,多好發於腹膜後(retroperitoneum)及下肢。在頭頸部,非常稀少。口腔中以頰部最常見,原發於舌部者,則非常罕見。根據英文文獻,僅有十多例被發表過。診斷上以組織病理的特徵為依據。目前治療方式以外科廣泛切除手術為主,放射治療及化學治療的角色仍未獲肯定。本案例為1名36歲的男性病患,主訴為舌部有個長達半年的腫塊。病患接受舌部腫塊廣泛切除手術,組織病理學報告為黏液樣脂肪肉瘤。藉由局部檢查及影像學檢查並未發現到有殘留腫塊及轉移。在術後經過6個月的追蹤,並未發現到有復發的情形。

關鍵字

舌頭 黏液樣 脂肪肉瘤

並列摘要


Liposarcoma is a malignant mesenchymal neoplasm that arises from adipose tissue, most commonly in the retroperitoneum and lower extremities. Liposarcoma of the head and neck is rare. Liposarcoma of the oral cavity demonstrates a predilection for the cheek. Liposarcoma which originates from the tongue is rare and very few cases had been reported in the literature. The appropriate diagnosis is based on the histopathological evaluation. Wide surgical excision is the treatment of choice, with limited data to support the use of radiation therapy or chemotherapy. We present a case of myxoid liposarcoma of the tongue occurring in a 36-year-old man who complains of a painless mass in the tongue for half year. He received tongue tumor wide excision and the tumor was reported as myxoid liposarcoma. No metastasis is noted from physical examination and image study. There was no evidence of local recurrence after a follow-up period of 6 months.

並列關鍵字

tongue myxoid liposarcoma

延伸閱讀


  • Yang, T., Chiang, C., Kok, S., & Kuo, Y. (2006). 舌之平滑肌肉瘤. 中華民國口腔顎面外科學會雜誌, 17(2), 109-116. https://doi.org/10.7104/CJOMS.200609.0109
  • Liu, S. C., Su, W. F., Nieh, S., Lin, D. S., & Chu, Y. H. (2010). 舌部骨瘤. Journal of Medical Sciences, 30(3), 97-99. https://doi.org/10.6136/JMS.2010.30(3).097
  • 蘇峯民、袁本治、陸志濠、錢尚道(2007)。舌部骨瘤台灣耳鼻喉頭頸外科雜誌42(1),16-19。https://doi.org/10.6286/2007.42.1.16
  • 林啓秦、李國森、張克昌(2004)。舌根部神經鞘瘤台灣耳鼻喉頭頸外科雜誌39(s-2),119-121。https://doi.org/10.6286/2004.39.s-2.119
  • Lee, L. T., Kwan, P. C., & Wong, Y. K. (2004). Neurilemoma of the Tongue: the Diagnostic Dilemma in a Case. 中華民國口腔顎面外科學會雜誌, 15(2), 141-150. https://doi.org/10.7104/CJOMS.200409.0141

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