下頜骨軟骨肉瘤－病例報告

Chondrosarcoma of the Mandible – Case Report

施水木(Shui-Mu Shi) ； 呂宜興(Yi-Shing Leu) ； 王道遠(Tao-Yeuan Wang) ； 蕭弘道(Hung-Tao Hsiao) ； 張克昌(Ko-Chang Chang)

《中華民國耳鼻喉科醫學會雜誌》 33卷6期 (1998/12) Pp. 674-678

https://doi.org/10.6286/1998.33.6.674

摘要

軟骨肉瘤最常發生於骨盆、股骨及肱骨，而發生於下頜骨的病例並不多見。本院於1997年9月經歷1例下頜骨軟骨肉瘤的病例：患者為24歲女性，右側臉頰有一10x10cm巨大的無痛性堅質腫塊，6個月來逐漸長大，最近更出現牙關緊閉及咬合不全的情形。於1997年10月1日接受腫瘤廣泛切除手術，並由整形外科醫師取用帶有血管的腸骨骨皮自由皮瓣做下頜骨重建。病理報告證實為軟骨肉瘤。術後並給予放射線治療。至今無局部復發或遠隔轉移的現象。由於病例罕見，特提出報告。

關鍵字

軟骨肉瘤 ； 下頜骨

並列摘要

Chondrosarcoma occurs most often in the pelvis, femur and humerus. However, it rarely occurs in the mandible. In this paper we report a case of chondrosarcoma of the mandible. A 24-year-old woman presented with a huge painless mass over the right check for 6 months. She later developed trismus and occlusal disharmony. Physical examination revealed a bulging mass, 10 x 10 cm, on the right lower face. Wide resection and immediate reconstruction with a vascularized iliac osteocutaneous free flap were performed. The pathological diagnosis was chondrosarcoma of the mandible. The patient received postoperative radiotherapy. There has been no evidence of recurrence or metastasis on follow up.

並列關鍵字

Chondrosarcoma ； mandible