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頜下腺腺樣囊狀癌-病例報告

Adenoid Cystic Carcinoma of Submandibular Gland: A Case Report

摘要


腺樣囊狀癌爲一來自唾液腺細胞之惡性腫瘤,一般好發在主唾液腺或小唾液腺,好發年齡約在50-60歲,無性別上之差異。其特徵爲腫瘤通常很小且生長緩慢,在發生初期不易於臨床上與影像上偵測到,但卻有沿著神經擴散及遠端轉移的傾向。腺樣囊狀癌的治療目前仍以手術切除加上術後的輔助性放射線治療爲主。本文提出一例頜下腺腺樣囊狀癌的患者,就其發病過程、臨床檢查、手術治療方式及追蹤情形作一完整之報告。

並列摘要


Adenoid cystic carcinoma (ACC) is a rare tumour of the major and minor salivary glands, occurs in the fifth or sixth decade of life and there is no gender predominance. Tumor growth is slow but its clinical course is relentless and progressive. ACC is the propensity for perineural invasion and distant spread to the lungs and bones is frequent. Most of ACCs are treated surgically with addition of adjunctive radiotherapy. We reveal a case of ACC of the submandibular gland and report present illness, clinical exam, surgical therapy treatment and post-operation follow up in particulars.

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