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Adjuvant Radiotherapy for Recurrent Mucoepidermoid Carcinoma of the Orbit: A Case Report and Review of Literature

眼眶復發性黏液表皮樣癌輔助放射治療:案例報告與文獻回顧

摘要


黏液表皮樣癌並非常見的眼眶部位腫瘤。本文將報告一62歲男性患眼球凸出達8年之久的案例。此案例接受腫瘤切除並經由病理組織證實為黏液表皮樣癌。因為病例數少,我們難以界定輔助放射治療的角色。這個案例因為腫瘤反覆復發而接受了多次的手術切除。此案例後來接受了螺旋刀作為輔助放射治療,且經影像學追蹤2年觀察到穩定的腫瘤控制。輔助放射治療可以提供眼眶復發性黏液表皮樣癌病患治療選擇。本文針對案例的治療過程加以討論,並且回顧相關文獻。

關鍵字

黏液表皮樣癌 螺旋刀 眼眶

並列摘要


Mucoepidermoid carcinoma of the orbit is an uncommon neoplasm. We report a 62-year-old Taiwanese man developed a painless proptosis for 8 years. He underwent tumor resection. By histopathology, mucoepidermoid carcinoma was diagnosed. Owing to the rare incidence, the role of adjuvant radiotherapy (RT) in the disease control has not been defined. Several episodes of recurrence developed despite repeated surgery in this case. The patient was treated with the adjuvant TomoTherapy afterwards. The results at 2 years image follow up revealed stationary tumor volume state after treatment. Therefore, adjuvant RT could be an option of treatment for recurrent mucoepidermoid carcinoma arising from the eye following surgery. Treatment decision making of this case is discussed and previous reports are reviewed in this article.

並列關鍵字

Mucoepidermoid Carcinoma TomoTherapy Orbit

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