- 期刊
腮腺之上皮肌上皮細胞癌－病例報告
Epithelial-Myoepithelial Carcinoma of the Parotid Gland - Case Report
摘要
唾液腺內之上皮肌上皮細胞癌(epithelial-myoepithelial carcinoma) 為一種罕見的低度惡性腫瘤，約佔所有唾液腺腫瘤的1%。本院於1998年6月間經歷1例41歲女性病患，發現右側耳下一逐漸增大之腫塊已1個多月。理學檢查為一大小1*1cm 、堅硬、無痛、不可移動之腫塊。頸部電腦斷層掃描顯示，再右側腮腺淺葉內有一結節。患者於1998年9月接受腮腺淺葉切除手術，證實為腮腺之上皮肌上皮細胞癌。術後於門診追蹤至今1年8個月，無復發現象。由兩種細胞組成之特殊組織學型態，為上皮肌上皮細胞癌的主要特徵。因為這種病例罕見，期可考靠之預後因子尚未建立，故治療後仍應長期追蹤。
並列摘要
Epithelial-myoepithelial cearcinoma of the salivary glands is a rare, low-grade malignant tumor. It comprises about 1% of all salivary gland tumors We report a 41-year-old woman with a right infra-auricuar mass noted for more than one month. The initial size of the tumor was 1*1cm, and it was firm, non-tender and fixed. The CT scan of the neck showed a nodule over the superficial lobe of the right parotid gland. After suoerficial parotidectomy, the pathology revealed an epithelial-myoepithelial carcinoma of the parotid gland. Sinse surgery, there have been no sigh of recurrence after a follow-up of 1 year and 8months. The histology of biphasic cell populations is characteristic of this kind of tumor. In spite of the low-grade malignant manifestation in the majority of the reported cases, long term follow-up is indispensable after treatment because of a lack of reliable prognostic markers.
延伸閱讀
- 陳立欣、黃博琪、黃弘孟（2021）。腮腺肌上皮瘤－病例報告。台灣耳鼻喉頭頸外科雜誌，56(4)，259-263。https://doi.org/10.6286/jtohns.202112_56(4).259
- 張乃元、蔡行生、談嘉俊（2001）。腮腺基底細胞腺瘤-病例報告。中華民國耳鼻喉科醫學雜誌，36(5)，316-319。https://doi.org/10.6286/2001.36.5.316
- 王俊仁、朱繡棟、張士臣（1996）。腮腺分泌管癌─病例報告。中華民國耳鼻喉科醫學會雜誌，31(3)，249-253。https://doi.org/10.6286/1996.31.3.249
- 呂郁蔚、謝曜旭、洪宣彥、林曜祥（2001）。腮腺之瘤細胞瘤-病例報告。中華民國耳鼻喉科醫學雜誌，36(4)，257-260。https://doi.org/10.6286/2001.36.4.257
- Nazhvani, A. D., Tabrizi, R., & Amanpour, S. (2012). Primary Mucinous Adenocarcinoma of the Parotid Gland: A Case Report. International Journal of Case Reports and Images (IJCRI), 3(9), 33-35. https://doi.org/10.5348/ijcri-2012-09-179-CR-9