書誌事項
- タイトル別名
-
- A case of adenosquamous carcinoma of the lower gingiva
- カガク シニク ニ ハッセイ シタ セン ヘンペイ ジョウヒガン ノ 1レイ
この論文をさがす
抄録
Adenosquamous carcinoma is a malignant tumor that rarely occurs in the oral and maxillofacioal region. We report a case of adenosquamous carcinoma of the lower gingiva. A 81-year-old man visited our hospital because of swelling of the right lower gingiva in November 2009. A hemorrhagic tumor with induration of 41 × 36 mm was found in the right lower molar region, and histopathological examination of a biopsy specimen suggested a diagnosis of adenosquamous carcinoma expressing cytokeratin 7. Imaging studies revealed cervical lymph-node metastases and nodules in the lung. The clinical diagnosis was suspected to belower gingiva carcinoma （T4aN2bM1, Stage IVC） with an abnormally high level of serum carcinoembryonic antigen （CEA, 50.3 ng/mL）. In January 2010, tracheotomy, neck dissection, lower jaw segmental resection, and lower jaw reconstruction using a metal plate and pectoralis major myocutaneous flap were performed with the patient under general anesthesia. The postoperative serum CEA value decreased to 7.5 ng/mL. In the operative specimen, squamous cell carcinoma and a tubular structure were found, and PAS and Alcian blue stain were positive. The final histopathological diagnosis was adenosquamous carcinoma. He was progressing well and discharged without other treatment in February of the same year. Although pulmonary disease was not diagnosed, lung nodules gradually increased, and he died of respiratory failure in September 2012, 32 months after the operation.
収録刊行物
-
- 日本口腔外科学会雑誌
-
日本口腔外科学会雑誌 60 (4), 193-198, 2014
社団法人 日本口腔外科学会
- Tweet
詳細情報 詳細情報について
-
- CRID
- 1390001206532573696
-
- NII論文ID
- 130005072005
-
- NII書誌ID
- AN00189163
-
- ISSN
- 21861579
- 00215163
-
- NDL書誌ID
- 025476162
-
- 本文言語コード
- ja
-
- データソース種別
-
- JaLC
- NDL
- Crossref
- CiNii Articles
- KAKEN
-
- 抄録ライセンスフラグ
- 使用不可