下顎血管肉腫の1例

  • 渡邉 佳紀
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 安里 亮
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 辻 純
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 神田 智子
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 本多 啓吾
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 森 祐輔
    京都医療センター耳鼻咽喉科・頭頸部外科
  • 辻村 隆司
    京都医療センター耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • A Case of angiosarcoma of the mandible

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抄録

Angiosarcoma is a rare malignant endothelial cell tumor and accounts for about 1-2% of soft tissue sarcomas. Chronic lymphedema, after irradiation, such as trauma or chronic physical stimuli has been an incentive. Primary angiosarcoma typically occurs in the head and facial skin; angiosarcoma in the mandible such as this case is extremely rare. The rate of local recurrence or distant metastases is high. The 5-year survival rate is about 10-35% and the prognosis is poor. Complete resection is essential for local control, but it is important to consider postoperative functional preservation if the mandible has been involved in feeding, articulation and swallowing, which are directly linked to decreased quality of life. Here, we report on a case who underwent a complete resection for angiosarcoma that had extensively progressed in the primary lower jaw. We were able to achieve both local control and postoperative functional preservation by performing a rigid reconstruction in a one-stage repair and by using a mandible skin flap.

収録刊行物

  • 頭頸部癌

    頭頸部癌 38 (4), 408-414, 2012

    日本頭頸部癌学会

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