Peters Peter, Repanos Costa, Earnshaw James, Stark Patrick, Burmeister Bryan, McGuire Lloyd, Jeavons Susanne, Coman A M William B
Department of Otolaryngology Head and Neck Surgery, Princess Alexandra Hospital, Ipswich Rd, Woolloongabba, Queensland, Australia.
Head Neck Oncol. 2010 Feb 2;2:4. doi: 10.1186/1758-3284-2-4.
A 60 year old lady was referred to the Princess Alexandra Hospital (Brisbane, Queensland, Australia) tertiary Otolaryngology, Head and Neck Unit from a peripheral hospital for investigation and management of a tumour at the base of the tongue. Biopsy of the tumour revealed it to be an epithelial-myoepithelial carcinoma of the base of the tongue. This is an extremely rare tumour in this location with only 2 other case reports in the world literature: the patients were treated with chemo-radiotherapy and surgery respectively. Our patient was made aware of the world literature and was able to make a fully informed decision on her choice of treatment modality and was treated with radiotherapy. Increasingly journals are limiting publication of case reports to "world firsts" only. We present a case where such a policy would have denied patient choice and possibly led to detrimental treatment.We review the world literature of tongue base epithelial-myoepithelial carcinoma of the tongue.
一名60岁女性患者从一家基层医院转诊至亚历山德拉公主医院（位于澳大利亚昆士兰州布里斯班）的三级耳鼻喉头颈科，以对其舌根处的肿瘤进行检查和治疗。肿瘤活检显示为舌根上皮-肌上皮癌。这种肿瘤在此部位极为罕见，世界文献中仅有另外2例报道：这两名患者分别接受了放化疗和手术治疗。我们告知了患者世界文献中的情况，使其能够就治疗方式做出充分知情的决定，她最终接受了放射治疗。越来越多的期刊将病例报告的发表限制为仅发表“世界首例”。我们在此呈现一个案例，说明这样的政策可能会剥夺患者的选择权，并可能导致有害的治疗。我们回顾了舌根上皮-肌上皮癌的世界文献。
