轉移至腮腺及頭部之臉部皮膚鱗狀細胞癌

Facial Cutaneous Squamous Cell Carcinoma of the Face with Metastasis to the Parotid and Neck

李清池(Ching-Chih Lee) ； 朱繡棟(Sau-Tung Chu)

《台灣耳鼻喉頭頸外科雜誌》 38卷2期 (2003/04) Pp. 82-85

https://doi.org/10.6286/2003.38.2.82

摘要

頭頸部皮膚鱗狀細胞癌局部轉移的機會只有5%，常轉移至腮腺及頸部淋巴結。本院於2001年6月經歷一名80歲男性病患，於一年半前因右臉頰皮膚鱗狀細胞癌於他院接受手術治療，近兩個月來因發現右耳前及右下頸部腫塊而至本院求診。患者接受腮腺淺葉切除手術及頸淋巴結根除術，病理切片顯示腮腺及頸淋巴結皆為轉移鱗狀細胞癌。病患於術後接受放射線治療。追蹤至今1年半，狀況良好，無局部復發及肺部、骨骼轉移跡象。頭頸部皮膚鱗狀細胞癌一旦發生轉移，其5年存活率僅為61%。在治療腮線及頸部轉移癌方面建議進行腮腺全葉切除手術、頸淋巴結根除術及術後放射線治療。

關鍵字

皮膚鱗狀細胞癌 ； 腮線 ； 轉移

並列摘要

The metastasis rate of cutaneous squamous cell carcinoma of the head and neck is as rare as 5%. The commonest metastatic areas are parotid gland and neck lymph nodes. We report an 80-year-old man with a right side preauricular and right neck masses. He was a victim of squamous cell carcinoma of right face and underwent wide excision 18 months ago. However mass lesions developed over right preauricular area and lower neck about 6 months ago. After superficial parotidectomy and radical neck dissection, the pathology revealed moderately -differentiated metastatic squamous cell carcinoma. Cutaneous metastatic squamous cell carcinoma involving the parotid gland and neck is an aggressive disease. Cumulative disease-specific survival at 5 years is 61%. More aggressive surgery such as total parotidectomy, radical neck dissection and adjuvant radiotherapy are recommended.

並列關鍵字

cutaneous squamous cell carcinoma ； parotid gland ； metastasis