咽旁间隙癌在多形性腺瘤中1例
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摘要
<正>1病例报告患者,女,54岁,因"体检发现右侧咽旁间隙内占位3周"于2016年11月14日入院。3周来感咽痒、咽部梗阻感,进食坚硬食物时梗阻感加重,伴胸骨后梗阻及疼痛,伴头晕,以晨起及快速变化体位时明显;余无特殊不适。体检:鼻咽部光滑、未见新生物,口咽部慢性充血,双侧扁桃体Ⅱ度肿大,表面
Carcinoma ex pleomorphic adenoma is an epithelial malignant tumor of pleomorphic adenoma.This may be due to the accumulation of genetic instability caused by long-term pleomorphic adenomas.There are few reports of parapharyngeal space carcinoma ex pleomorphic adenoma in the literature study both at home and abroad.This article retrospectively summarized the clinical data of 1 case of pharyngeal space carcinoma ex pleomorphic adenoma and reviewed the literature.We strengthened the understanding of parapharyngeal space carcinoma ex pleomorphic adenoma,improve the accuracy of diagnosis and reduce misdiagnosis and mistreatment.
Carcinoma ex pleomorphic adenoma is an epithelial malignant tumor of pleomorphic adenoma.This may be due to the accumulation of genetic instability caused by long-term pleomorphic adenomas.There are few reports of parapharyngeal space carcinoma ex pleomorphic adenoma in the literature study both at home and abroad.This article retrospectively summarized the clinical data of 1 case of pharyngeal space carcinoma ex pleomorphic adenoma and reviewed the literature.We strengthened the understanding of parapharyngeal space carcinoma ex pleomorphic adenoma,improve the accuracy of diagnosis and reduce misdiagnosis and mistreatment.
引文
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[9]肖海,张建东,温霆宇.癌在多形性腺瘤中1例报告并文献复习[J].重庆医学,2017,46(21):3021-3023.
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[12]杨征,陈晓红.经口内镜高位咽旁间隙良性肿瘤切除术临床分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(15):1187-1190.
[13]洪育明,胡娟娟,梁振源.112例咽旁间隙肿瘤的临床诊治分析[J].临床耳鼻咽喉头颈外科杂志,2015,29(11):994-997.
[14]陶磊,石小玲,李筱明,等.188例咽旁间隙肿瘤的回顾性分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(2):129-133.
[15]严丹青,闵翔,刘凯.巨大复发性腮腺肿瘤切除1例[J].临床耳鼻咽喉头颈外科杂志,2016,30(6):498-499.
[16]WEIS E,ROOTMAN J,JOLY T J,et al.Epithelial lacrimal gland tumors:pathologic classification and current understanding[J].Arch Ophthalmol,2009,127:1016-1028.
[2]CASSONI A,TERENZI V,DELLA M M,et al.Parapharyngeal space benign tumours:our experience[J].J Craniomaxillofac Surg,2014,42:101-105.
[3]ANTONY J,GOPALAN V,SMITH R A,et al.Carcinoma ex pleomorphic adenoma:a comprehensive review of clinical,pathological and molecular data[J].Head Neck Pathol,2012,6:1-9.
[4]王敏,崔可飞,于小芳.腮腺癌在多形性腺瘤中超声表现1例[J].临床超声医学杂志,2014,18(11):791-791.
[5]LEWIS J E,OLSEN K D,SEBO T J.Carcinoma ex pleomorphic adenoma:pathologic analysis of 73cases[J].Hum Pathol,2001,32:596-604.
[6]KATABI N,GOMEZ D,KLIMSTRA D S,et al.Prognostic factors of recurrence in salivary carcinoma ex pleomorphic adenoma,with emphasis on the carcinoma histologic subtype:a clinicopathologic study of 43cases[J].Hum Pathol,2010,41:927-934.
[7]胡宇华,李江,李蕾,等.涎腺恶性多形性腺瘤161例临床病理分析[J].临床与实验病理学杂志,2007,23(1):43-47.
[8]LINGAM R K,DAGHIR A A,NIGAR E,et al.Pleomorphic adenoma(benign mixed tumour)of the salivary glands:its diverse clinical,radiological,and histopathological presentation[J].Br J Oral Maxillofac Surg,2011,49:14-17.
[9]肖海,张建东,温霆宇.癌在多形性腺瘤中1例报告并文献复习[J].重庆医学,2017,46(21):3021-3023.
[10]HONDA T,YAMAMOTO Y,ISAGO T,et al.Giant pleomorphic adenoma of the parotid gland with malignant transformation[J].Ann Plast Surg,2005,55:524-527.
[11]周明光,汤建国,张雷,等.咽旁间隙巨大混合瘤2例[J].临床耳鼻咽喉科杂志,2002,16(7):312-312.
[12]杨征,陈晓红.经口内镜高位咽旁间隙良性肿瘤切除术临床分析[J].临床耳鼻咽喉头颈外科杂志,2017,31(15):1187-1190.
[13]洪育明,胡娟娟,梁振源.112例咽旁间隙肿瘤的临床诊治分析[J].临床耳鼻咽喉头颈外科杂志,2015,29(11):994-997.
[14]陶磊,石小玲,李筱明,等.188例咽旁间隙肿瘤的回顾性分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(2):129-133.
[15]严丹青,闵翔,刘凯.巨大复发性腮腺肿瘤切除1例[J].临床耳鼻咽喉头颈外科杂志,2016,30(6):498-499.
[16]WEIS E,ROOTMAN J,JOLY T J,et al.Epithelial lacrimal gland tumors:pathologic classification and current understanding[J].Arch Ophthalmol,2009,127:1016-1028.