鼻咽部黏液類上皮細胞癌

Mucoepidermoid Carcinoma of the Nasopharynx

陳世中(Shih-Chung Chen) ； 游進益(Ching-Yi Yiu) ； 盧納密(David Lu)

《台灣耳鼻喉頭頸外科雜誌》 40卷6期 (2005/10) Pp. 236-239

https://doi.org/10.6286/2005.40.6.236

摘要

黏液類上皮細胞癌(mucoepidermoid carcinoma)為腺體性的惡性腫瘤，最常見於腮腺，次好發於硬顎，發生於鼻咽部則非常罕見。本病例為1名39歲男性，因右側鼻孔間斷出血，於2004年3月來院求診。經鼻咽鏡檢查發現一不規則腫塊位於鼻咽右外側壁。首次病理切片診斷為慢性發炎組織。1年後再經2次鼻咽切片才證實為黏液類上皮細胞癌。病患隨即開始接受放射線治療，追蹤6個月後無復發，無遠端轉移之情形。因為鼻咽部的特殊解剖位置及癌細胞具有放射線抵抗性，故鼻咽部黏液類上皮細胞癌預後較不佳。

關鍵字

鼻咽部 ； 黏液類上皮癌

並列摘要

Mucoepidermoid carcinoma, a glandular malignant tumor, is the most common in the parotid gland, the second most common in the hard palate, and very rare in the nasopharynx. The 39-year-old male herein in view of intermittent bleeding of the right nostril visited the hospital in March 2004. During that time, the nasopharyngoscopy depicted an irregular lump in the right lateral wall of the nasopharynx; the primary biopsy, the chronic inflammatory tissue. Another two biopsies one year later manifested mucoepidermoid carcinoma eventually. Thus the radiotherapy was performed immediately. The 6-month follow up found neither recurrence nor distant metastasis. Attributed to the nasopharynx in the peculiar anatomical position and radiation resistance of tumor cells, mucoepidermoid carcinoma has a worse prognosis.

並列關鍵字

nasopharynx ； mucoepidermoid carcinoma