Wada Kota, Watanabe Subaru, Ando Yuji, Seino Yoichi, Moriyama Hiroshi
Department of Otolaryngology, Asahi General Hospital, Chiba 289-2511, Japan ; Department of Otorhinolaryngology-Head and Neck Surgery, Jikei University School of Medicine, Tokyo 105-8461, Japan.
Case Rep Otolaryngol. 2012;2012:421065. doi: 10.1155/2012/421065. Epub 2012 Dec 12.
Acinic cell carcinoma of minor salivary gland of the base of tongue is very rare. Squamous cell carcinoma is the most common tumor in the base of tongue. We present a patient with gigantic acinic cell carcinoma of the base of tongue. This patient required emergency tracheotomy before surgery, because he had dyspnea when he came to our hospital. We removed this tumor by pull-through method and performed reconstructive surgery using a rectus abdominis myocutaneous flap. It was a case that to preserved movement of the tongue and swallowing function by keeping lingual arteries and hypoglossal nerves. This case was an extremely rare case of ACC of the base of tongue that required reconstructive surgery.
舌根小涎腺腺泡细胞癌非常罕见。鳞状细胞癌是舌根最常见的肿瘤。我们报告一例巨大的舌根腺泡细胞癌患者。该患者来我院时因呼吸困难，术前需要紧急气管切开。我们通过经口拉出法切除该肿瘤，并使用腹直肌肌皮瓣进行重建手术。这是一例通过保留舌动脉和舌下神经来保留舌运动和吞咽功能的病例。该病例是极其罕见的需要进行重建手术的舌根腺泡细胞癌病例。
