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Inverted Papilloma with Sarcomatoid Carcinoma in the Nasal Cavity: A Case Report

鼻腔內倒生性乳頭狀瘤與肉癌類癌:病例報告

摘要


倒生性乳頭狀瘤與肉癌類癌在上呼吸腸胃道並不常見,而其治療方式也未完全有定論。本文中提出一80歲患有鼻腔內腫瘤之男性病人,經功能性內視鏡鼻竇手術切除後,病理報告顯示此腫瘤併有倒生性乳頭狀瘤與肉癌類癌兩種病理組織。因本病例為一侵犯性腫瘤且具特殊的病理特徵,術後病人接受以三照野方式之放射線治療,總劑量為5940 cGy。至目前腫瘤並無復發跡象,因此以放射線治療作為對此特殊疾病的輔助療法可望有助於增加對腫瘤的局部控制。

並列摘要


Inverted papilloma and sarcomatoid carcinoma are both uncommon tumors of the upper aerodigestive tract, and the treatment modalities are controversial. We report a case of an 80-year-old male patient with a nasal cavity tumor. Functional endoscopic sinus surgery was performed and the pathology revealed inverted papilloma and sarcomatoid carcinoma. This combination has not previously been reported. Radiotherapy was administrated because of advanced disease, inadequate surgical margins, and the unique pathological findings. A 3-field technique was used, with a total dose to 5940 cGy. No recurrence was noted. This suggests that radiotherapy may be a useful adjuvant therapy for improving local control of this disease.

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