書誌事項
- タイトル別名
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- A case of malignant melanoma from an unknown primary site that extensively invaded the mandibular bone
- カガクコツ ナイ ニ コウハン ニ シンテン シタ ゲンパツ フメイ アクセイ コクショク シュ ノ 1レイ
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To our knowledge, a case of primary oral malignant melanoma (MM) invading mainly the jaw has yet to be reported. We report a case of MM that spread widely in the mandibular medullary cavity with limited involvement of the mucosa. <BR>A 40-year-old woman visited our hospital because of mobility of the lower right second molar. Initial examination showed that the second molar floated, and the gingiva was pale purple-blue. An X-ray film showed a diffuse radiolucent area from the premolar to the ramus of the right mandible. The diagnosis of a biopsy specimen was MM, and no distant metastasis was detected on whole body examination. A wide tumor resection with radical neck dissection and immediate reconstruction were performed. Histopathological examination of the specimen revealed MM invading mainly the mandibular bone marrow; however, the primary site remained unknown. DAV-Feron therapy was given postoperatively. Three months later, left cervical lymph node metastasis was detected, and neck dissection was performed. Three years after the first visit, a metastatic lesion in the pleural space was excised by thoracosopic surgery. Ten courses of DAV-Feron therapy were completed, and the patient is now under observation.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 59 (2), 78-82, 2013
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001206533280640
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- NII論文ID
- 10031156082
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 024302666
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可