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摘要


類基底鱗狀細胞癌為組織學上鱗狀細胞癌一種明確的變異且具有高度侵犯行為的腫瘤,主要發生於頭頸部,但亦會發生於如食道、肺部及胸腺等非頭頸部區域。鼻部之類基底鱗狀細胞癌相當少見,單純由鼻中隔長出者則僅有Wieneke等發表過2例。本科於2001年10月經歷一例鼻中隔類基底鱗狀細胞癌的病例,病人為37歲男性,主訴為持續一個多月的右側鼻出血,檢查發現,在鼻中隔右側前端有一 0.5×0.5cm的不規則腫塊,病理切片診斷為類基底鱗狀細胞癌。經施行右鼻側切開術逕行鼻中隔之廣泛切除,術後情況良好,追蹤至今16個月,無腫瘤復發現象。

並列摘要


Basaloid squamous cell carcinoma is a histologically distinct high grade, aggressive variant of squamous cell carcinoma. The head and neck region appears to be the most frequent area of occurrence of basaloid squamous cell carcinoma. However, it is found in other mucosal sites, such as the esophagus, lung, thymus, and anus. Basaloid squamous cell carcinoma is rarely found in nasal cavity and there are only 2 cases of basaloid squamous cell carcinoma of nasal septum reported by Wieneke et al. In October 2001, we experienced a 37-year-old man with basaloid squamous cell carcinoma on the right side of the nasal septum. His chief complaint was right nasal bleeding for more than one month. The patient underwent wide resection of the nasal septum by lateral rhinotomy procedure. No recurrence has been noted 16 months after surgery.

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