Lee G, Jone H C, Huang T S, Lui T N, Ho Y S
Department of Otolaryngology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1990 Sep;13(3):226-30.
Adenoid cystic carcinoma of the nasopharynx is an occurrence with only 44 previously reported cases in the English literature. We report herein one additional case. This 62-year-old female patient suffered from right facial numbness for 1 year. A CT scan of the brain showed tumor shadow in right C-P angle. Subsequently, the patient underwent a temporal craniotomy. A mass was noted in medial temporal fossa, encasing the trigeminal nerve. The tumor was totally removed and pathologic examination showed a picture of metastatic adenoid cystic carcinoma. High resolution CT scan of nasopharynx after surgery revealed bulging of fossa of Rosenmüller, although no gross abnormality was found in the mirror examination of nasopharynx. Thus, nasopharyngeal biopsy was done resulting in a diagnosis of adenoid cystic carcinoma which was considered to be the primary site of origin. The patient received radiotherapy and she was followed up in our clinic.
鼻咽腺样囊性癌极为罕见，英文文献中此前仅报道过44例。本文我们报告另外1例。该62岁女性患者右侧面部麻木1年。脑部CT扫描显示右侧桥小脑角区有肿瘤阴影。随后，患者接受了颞部开颅手术。在颞中窝发现一个肿块，包绕三叉神经。肿瘤被完整切除，病理检查显示为转移性腺样囊性癌。术后鼻咽部高分辨率CT扫描显示咽隐窝膨隆，尽管鼻咽部镜检未发现明显异常。因此，进行了鼻咽活检，诊断为腺样囊性癌，考虑为原发部位。患者接受了放疗，并在我们诊所进行随访。
