下顎舌正中切開法で切除した舌根部粘表皮癌例

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  • A Case of Mucoepidermoid Carcinoma of the Tongue Base Treated by Median Labiomandibular Glossotomy
  • 臨床 下顎舌正中切開法で切除した舌根部粘表皮癌例
  • リンショウ カガク ゼツ セイチュウ セッカイホウ デ セツジョ シタ ゼッコンブネンヒョウヒガンレイ

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<p>Mucoepidermoid carcinoma arising from the base of the tongue is relatively rare. The basic treatment for this type of minor salivary gland tumor is radical resection.</p><p>Several surgical approaches have been reported, including the transoral and external approaches. Median labiomandibular glossotomy is one of the techniques for approaching to the base of the tongue.</p><p>A 41-year-old woman visited our hospital complaining of pharyngeal discomfort, and was found to have a rather large tumor at the base of the tongue. A diagnosis of mucoepidermoid carcinoma was made by biopsy. Tumor resection was performed via a median labiomandibular glossotomy, and the patient showed satisfactory progress after the operation. No adjuvant therapy was offered, because histopathological examination revealed low-grade malignancy of the tumor, and that the margins were microscopically tumor-free. The patient experienced no functional disorders or tumor recurrence during the follow-up period.</p><p>Median labiomandibular glossotomy is effective for treating mucoepidermoid carcinoma of the base of the tongue, in terms of the low rate of damage of vessels and nerves.</p>

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