軟腭小唾液腺之睡液腺管道癌－病例報告

Salivary Duct Carcinoma of Soft Palate-A Case Report

陳裕豐(Yu-Feng Chen) ； 林蔚庭(Wei-Ting Lin) ； 黃逸岳(I-Yueh Huang) ； 吳崇維(Chung-Wei Wu)

《臺灣口腔顎面外科學會雜誌》 21卷4期 (2010/12) Pp. 333-341

https://doi.org/10.7104/TJOMS.201012.0333

摘要

唾液線管道癌是一種罕見急性度極高的唾液腺腫瘤，好發於腮線。腫瘤惡性度極高而且有早期遠端轉移可能，其腫瘤細胞以管道細胞的表皮轉變爲主，好發矜較年老的男性。本病例爲一20歲女性，因左上軟腭處有一與痛感的腫塊長達半年而至本科求診。經手術切除後，病理報告爲來自軟胯小唾液腺之唾液線管道癌。就目前可查找的文獻中，此例爲發病最年輕且爲女性的病人，與一般統計上多爲較年老的男性相異。本病例施行廣泛性切除手街後合併高劑量放射線治療，術後七個月追蹤並無復發或轉移跡象。

關鍵字

唾液腺管道癌 ； 小唾液腺 ； 軟腭

並列摘要

Salivary duct carcinoma is a rare and highly malignant neoplasm that more frequently affects the parotid gland. Only few cases have been reported involving minor salivary gland, they are less aggressive and may lead to early diagnosis before distant metastases could occur. Distant metastasis was the most common cause of failure. This neoplasm has a striking resemblance to ductal breast carcinoma, possibility of metastasis should be carefully excluded. The peak incidence of SDCs is in the sixth and seventh decades of life, and it has male predominance. To the best of our knowledge, this is the first case with earliest age and female in occurrence.

並列關鍵字

salivary duct carcinoma ； minor salivary gland ； soft palate