CAJ | 학술논문

目的探讨小涎腺腺泡细胞癌的临床表现、病理特点、治疗方法和预后.方法对1例腺泡细胞癌患者的临床资料进行总结并结合国内外已发表有关腺泡细胞癌临床和治疗特点的文献进行复习.结果 1例81岁男性患者主诉上唇肿物3年.患者3年前发现上唇黏膜长一肿物,约黄豆粒大小,无疼痛等自觉症状,未进行治疗,就诊时肿物渐增大1个月,影响上唇运动及美观就诊前1周,肿物曾自行破溃,流出血性分泌物前来就诊.入院后局麻下行上唇肿物切除术,术后病理为上唇腺泡细胞癌,局部侵犯表皮形成溃疡,未见明确脉管及神经侵犯,肿瘤未侵犯基底部横纹肌组织.结论唇腺泡细胞癌临床极少见,术前应注意与基底细胞腺瘤和多形性腺瘤鉴别.
목적 탐토소연선선포세포암적림상표현、병리특점、치료방법화예후.방법 대1례선포세포암환자적림상자료진행총결병결합국내외이발표유관선포세포암림상화치료특점적문헌진행복습.결과 1례81세남성환자주소상진종물3년.환자3년전발현상진점막장일종물,약황두립대소,무동통등자각증상,미진행치료,취진시종물점증대1개월,영향상진운동급미관취진전1주,종물증자행파궤,류출혈성분비물전래취진.입원후국마하행상진종물절제술,술후병리위상진선포세포암,국부침범표피형성궤양,미견명학맥관급신경침범,종류미침범기저부횡문기조직.결론 진선포세포암림상겁소견,술전응주의여기저세포선류화다형성선류감별.
Objective To investigate the clinical and pathological characteristics of acinic cell carcinoma and to discuss its treatment and prognosis. Methods Acinic cell carcinoma (ACC) diagnosed in beijing chaoyang Hospital was retrospectively analyzed and the literature published was reviewed. Results ACC is a slow growing,low-grade malignancy of the salivary glands. Most cases occur in the parotid, but a few cases affecting the minor salivary glands have also been described, cases reported in the palate glands were more than in the labial glands. Generally think that ACC can occur at any age, but most cases occur in the elderly people and show a female predilection. The clinical feature of ACC were observed as following:indolent tumor, slow growing, long course of disease,like pleomorphic adenoma, lymp node metastasis was rare. Conclusion ACC in the labial glands is extremely rare. It's should be identified with basal cell adenoma and pleomorphic adenoma.