Terada Yoshitaka, Yutaka Yojiro, Kaneda Syohei, Noguchi Susumu, Fukao Akari, Takahashi Kenichi, Katakura Hiromichi, Sakai Naoki, Yamanaka Akira, Shirase Tomoyuki, Saiga Tatsuyoshi
Department of Respiratory Diseases, Otsu Red Cross Hospital, Otsu, Japan.
Kyobu Geka. 2013 Dec;66(13):1158-62.
A 79-year-old woman whose cutaneous tumor had been resected 21 years and 12 years (local recurrence)before pathologically confirmed as primary cutaneous adenoid cystic carcinoma (ACC), was referred to our hospital for the abnormal shadow on chest X-ray. Chest computed tomography (CT)revealed 3 nodules in the peripheral field of both lungs, which were diagnosed by echo-guided needle biopsy as metastasis from the cutaneous ACC, and were completely resected at 5 months intervals. Any recurrences have not been detected for 2 years after the lung resection. In primary cutaneous ACC, not only complete resection with adequate margin but long-term follow up is recommended.
一名79岁女性，其皮肤肿瘤在21年前和12年前（局部复发）切除，病理确诊为原发性皮肤腺样囊性癌（ACC），因胸部X线异常阴影转诊至我院。胸部计算机断层扫描（CT）显示双肺外周野有3个结节，经超声引导下针吸活检诊断为皮肤ACC转移，并每隔5个月进行了完整切除。肺切除术后2年未发现任何复发。对于原发性皮肤ACC，不仅建议进行足够切缘的完整切除，还建议进行长期随访。
