腮腺唾液腺管癌併海綿竇侵犯

Parotid Salivary Duct Carcinoma Involving the Cavernous Sinus

王清文(Ching-Wen Wang) ； 蘇茂昌(Mao-Chang Su) ； 辛宗翰(Chung-Han Hsin) ； 曾顯群(Hsien-Chun Tseng) ； 莊俊義(Chun-Yi Chuang)

《台灣耳鼻喉頭頸外科雜誌》 45卷4期 (2010/08) Pp. 130-133

https://doi.org/10.6286/2010.45.4.130

摘要

唾液腺分泌管癌是一種罕見且高度惡性的唾液腺癌，最常見於腮腺，病人多數是男性且好發於65歲以上。本院經歷l名45歲女性病患，主訴右臉痛、右側耳前一疼痛性腫塊約2個月，合併頭痛、複視1個月。核磁共振顯示右側腮腺深葉有一腫瘤，並侵犯右側三叉神經及卵圓孔，擴及右側海綿竇區。病患接受右側腮腺深葉切除術，病理報告顯示為唾液腺分泌管癌。手術後接受放射治療，分別於術後第6個月及第13個月發現肋膜轉移及腦轉移，於第14個月死亡。

關鍵字

唾液腺分泌管癌 ； 腮腺

並列摘要

Salivary duct carcinoma is a rare and highly malignant adenocarcinoma of the salivary glands. The tumors are most often located in the parotid gland and the majority of patients are male aged 65 years or older. We present a 45-year-old woman with a 2-month history of painful mass in her right preauricular region, double vision and right ptosis which had been noticeable for one month. Magnetic resonance imaging revealed a 2.4×2.7×3 cm contrast enhanced mass arising from the deep lobe of the right parotid gland extending along V3, through the foramen ovale to the right cavernous region. Deep lobe parotidectomy was performed for pathologic diagnosis, and pathologic examination showed salivary duct carcinoma. She received postoperative irradiation therapy. Unfortunately, pleural and brain metastasis were found separately on the 6(superscript th) and 13(superscript th) post-operative months, respectively, and the patient expired 14 months after surgery.

並列關鍵字

salivary duct carcinoma ； parotid gland