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巨大未分化口咽肉瘤:一例报告并文献复习

Giant undifferentiated oropharyngeal sarcoma: a case report and review of the literature.

作者信息

Sepúlveda Ilson, Frelinghuysen Michael, García Cesar, Platin Enrique, Spencer M Loreto, Ortega Pablo, Ulloa David

机构信息

ENT-Head and Neck Surgery Service, General Hospital of Concepción, Santiago, Chile ; Finis Terrae University, School of Dentistry, Santiago, Chile.

Oncology Service, General Hospital of Concepción, Santiago, Chile.

出版信息

Case Rep Oncol. 2014 Oct 25;7(3):718-26. doi: 10.1159/000368849. eCollection 2014 Sep.

DOI:10.1159/000368849
PMID:25493085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4256001/
Abstract

We report on a patient who presented to the Ear, Nose and Throat (ENT) clinic with swelling of the neck, dysphagia, headache, dyspnea and stridor. Imaging studies revealed an expansive heterogeneous process to the left retropharyngeal region. The mass was ovoid in shape, displaying moderate enhancement after intravenous contrast administration. Subsequently, a biopsy revealed the presence of undifferentiated sarcoma. The patient was treated with chemotherapy followed by radiation therapy, but follow-up exams at 6 months posttreatment revealed that while the tumor was stable, it persisted. Consequently, the patient was enrolled in a palliative care and pain control program and is currently being followed.

摘要

我们报告了一名患者,该患者因颈部肿胀、吞咽困难、头痛、呼吸困难和喘鸣而就诊于耳鼻喉科诊所。影像学检查显示左咽后区有一个膨胀性的异质性病变。肿块呈椭圆形,静脉注射造影剂后显示中度强化。随后,活检显示存在未分化肉瘤。该患者接受了化疗,随后进行了放射治疗,但治疗后6个月的随访检查显示,虽然肿瘤稳定,但仍然存在。因此,该患者参加了姑息治疗和疼痛控制项目,目前正在接受随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/c4b501d0028d/cro-0007-0718-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/8276b0bd1517/cro-0007-0718-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/d3227bf4238b/cro-0007-0718-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/be96f121a4dd/cro-0007-0718-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/ca0c339f4812/cro-0007-0718-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/a96cf2ac29e8/cro-0007-0718-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/3a3f7ba26336/cro-0007-0718-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/61736abb5e7c/cro-0007-0718-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/92f204298a0b/cro-0007-0718-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/92bb6d5fdd48/cro-0007-0718-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/c4b501d0028d/cro-0007-0718-g10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/8276b0bd1517/cro-0007-0718-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/d3227bf4238b/cro-0007-0718-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/be96f121a4dd/cro-0007-0718-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/ca0c339f4812/cro-0007-0718-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/a96cf2ac29e8/cro-0007-0718-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/3a3f7ba26336/cro-0007-0718-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/61736abb5e7c/cro-0007-0718-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/92f204298a0b/cro-0007-0718-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/92bb6d5fdd48/cro-0007-0718-g09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cf/4256001/c4b501d0028d/cro-0007-0718-g10.jpg

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本文引用的文献

1
Management of adult soft tissue sarcomas of the head and neck.头颈部成人软组织肉瘤的治疗。
Oral Oncol. 2010 Nov;46(11):786-90. doi: 10.1016/j.oraloncology.2010.09.001. Epub 2010 Oct 13.
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Prognostic factors and assessment of staging systems for head and neck soft tissue sarcomas in adults.成人头颈部软组织肉瘤的预后因素和分期系统评估。
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Sarcomas of the head and neck region.头颈部肉瘤
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