口底部に生じた紡錘細胞癌の1例

  • 中村 大輔
    医療法人医仁会さくら総合病院歯科口腔外科
  • 脇田 壮
    医療法人医仁会さくら総合病院歯科口腔外科
  • 今井 隆生
    医療法人医仁会さくら総合病院歯科口腔外科
  • 阿部 厚
    愛知学院大学歯学部顎口腔外科学講座
  • 杉田 好彦
    Department of Oral and Pathology, Aichi-Gakuin University, School of Dentistry
  • 前田 初彦
    Department of Oral and Pathology, Aichi-Gakuin University, School of Dentistry

書誌事項

タイトル別名
  • A case of spindle cell carcinoma in the floor of the mouth
  • クチ テイブ ニ ショウジタ ボウスイ サイボウガン ノ 1レイ

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抄録

Spindle cell carcinoma is characterized by multiplication of polygonal cells, which mainly comprise tumor cells, and is classified as a type of squamous cell carcinoma. The frequency of spindle cell carcinoma in the oral area is low, particularly in the floor of the mouth. Since spindle cell carcinoma shows a sarcomatoid structure in deep parts; diagnosis requires both clinical and immuno-histological confirmation. We report the case of a patient presenting spindle cell carcinoma in the floor of the mouth. A 57-year-old man visited our hospital with a chief complaint of a sense of discomfort in the floor of mouth. A 10 mm×10 mm tumor mass with an irregular, extroverted border was recognized on the right side of the floor of the mouth. No movement disorder or dysesthesia of the tongue was seen and saliva secretion was good. In addition, no enlarged or tender lymph nodes were identified. Diagnostic imaging showed a sublingual tumor mass measuring 10 mm×6 mm and no findings suggestive of metastasis to distant tissue. We excised part of the floor of the mouth under general anesthesia after a diagnosis of spindle cell carcinoma was obtained from the results of histopathological diagnosis following biopsy. As of three and a half years postoperatively, no recurrence has been seen and the patient is considered to have a good prognosis.

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