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腺样囊性癌所致舌痛

Glossopyrosis due to adenoid cystic carcinoma.

作者信息

Pellegrino S V

出版信息

Oral Surg Oral Med Oral Pathol. 1977 Apr;43(4):521-3. doi: 10.1016/0030-4220(77)90101-3.

DOI:10.1016/0030-4220(77)90101-3
PMID:191778
Abstract

Glossopyrosis and glossodynia may occur from local or systemic factors or from any irritation along the course of the lingual nerve. Although cylindroma is relatively rare, it must be considered along with other malignant lesions when neurologic symptoms of burning and pain of the tongue persist. Examination of the lesion is best carried out as multiple needle biopsies rather than as open biopsy, in order to avoid seeding of the skin and lymphatics of the neck. Recurrences are frequent and, because of the slow growth, there must be a long follow-up period. Metastases to the lung and brain, although late, occur in large numbers of patients. Best results are obtained by a combination of radiation therapy and operation because the infiltration is so extensive that operation alone may not eliminate the tumor completely.

摘要

舌灼痛和舌痛可能由局部或全身因素引起,也可能由舌神经走行过程中的任何刺激导致。尽管圆柱瘤相对罕见,但当舌部持续出现烧灼样疼痛等神经症状时,必须将其与其他恶性病变一并考虑。对病变进行检查时,最好采用多次针吸活检而非开放性活检,以避免颈部皮肤和淋巴管的种植转移。复发很常见,由于其生长缓慢,必须进行长期随访。尽管转移到肺和脑较晚,但大量患者会出现这种情况。放疗和手术联合治疗可取得最佳效果,因为肿瘤浸润范围广泛,仅手术可能无法完全切除肿瘤。

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