[头皮腺样囊性癌]
[Adenoid cystic carcinoma of the scalp].
作者信息
Droussi H, Ettalbi S, Ouahbi S, Soussou M, Boukind S
机构信息
Unité de chirurgie plastique, réparatrice et brûlés, CHU Mohammed VI, Marrakech, Morocco.
出版信息
Ann Dermatol Venereol. 2011 May;138(5):418-21. doi: 10.1016/j.annder.2011.02.018. Epub 2011 Apr 15.
BACKGROUND
Few cases of adenoid cystic carcinoma of the scalp have been described in the literature. Herein, we report a new case illustrating the difficulties of diagnosis and treatment of this rare form of tumour.
CASE REPORT
A 49-year-old man consulted for a large ulcerated scalp tumour. The biopsy sample exhibited an aspect of cystic adenoid carcinoma. Bone invasion had occurred. Extremely wide surgical excision was carried out, extending down to the dura mater, with covering by means of a frontal flap with left temporal pedicle. Since the edges of the resection were also tumoural, postoperative radiotherapy at 56Gy was given. Twelve months later, the patient was still in remission.
DISCUSSION
The standard treatment for adenoid cystic carcinoma is complete surgical excision but this approach may be complicated by difficulties relating to the degree of tumour spread or to the anatomical site. Postoperative radiotherapy appears to improve local control, as illustrated by our case.
背景
文献中报道的头皮腺样囊性癌病例很少。在此，我们报告一例新病例，说明这种罕见肿瘤形式的诊断和治疗困难。
病例报告
一名49岁男性因头皮巨大溃疡肿瘤前来就诊。活检样本显示为囊性腺样癌。已发生骨侵犯。进行了极广泛的手术切除，向下延伸至硬脑膜，并用带左颞蒂的额部皮瓣覆盖。由于切除边缘也有肿瘤，术后给予56Gy的放疗。十二个月后，患者仍处于缓解期。
讨论
腺样囊性癌的标准治疗方法是完整的手术切除，但这种方法可能因肿瘤扩散程度或解剖部位相关的困难而复杂化。如我们的病例所示，术后放疗似乎可改善局部控制。
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