腮腺腺样囊性癌转移至肝脏：病例报告
Adenoid cystic carcinoma of the parotid metastasizing to liver: case report.
作者信息
Harish K, Mangala Gouri S R
机构信息
Department of Surgical Oncology, M. S. Ramaiah Medical College & Hospital, Bangalore - 560054, India.
出版信息
BMC Cancer. 2004 Jul 30;4:41. doi: 10.1186/1471-2407-4-41.
Abstract
BACKGROUND
Adenoid cystic carcinoma is a rare malignant parotid tumor. Metastasis can occur even a decade or more after initial treatment of the primary.
CASE PRESENTATION
We report a 60 year old female patient who presented with adenoid cystic carcinoma of the parotid gland. She underwent a total conservative parotidectomy followed by adjuvant radiotherapy. While on follow up, patient developed multiple liver metastases which manifested three years later. Patient lived for another two years before she died of her disease.
CONCLUSIONS
Although distant metastases of adenoid cystic carcinoma develop frequently, isolated metastasis to liver is unusual. Even after manifestation of distant metastasis, patients can be expected to live for a number of years. Palliative chemotherapy can be considered in symptomatic cases while the usefulness of metastasectomy is controversial.
摘要
背景
腺样囊性癌是一种罕见的腮腺恶性肿瘤。即使在原发灶初次治疗后十年或更长时间也可能发生转移。
病例报告
我们报告一名60岁女性患者，患有腮腺腺样囊性癌。她接受了全腮腺保守切除术，随后进行辅助放疗。在随访期间，患者出现多处肝转移，三年后表现出来。患者又存活了两年，最终死于该疾病。
结论
尽管腺样囊性癌远处转移频繁发生，但孤立性肝转移并不常见。即使出现远处转移，患者仍有望存活数年。有症状的病例可考虑姑息化疗，而转移灶切除术的有效性存在争议。
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