Sudhakar Sankaran, Velugubantla Raga Geethika, Erva Swathi, Chennoju Sai Kiran
Department of Oral Medicine and Radiology, St. Joseph Dental College and Hospital, Eluru, Andhra Pradesh, India.
J Clin Imaging Sci. 2014 Nov 29;4(Suppl 2):5. doi: 10.4103/2156-7514.145898. eCollection 2014.
Salivary gland carcinomas are a clinically diverse group of neoplasms with histological patterns overlapping other tumors, thus complicating their diagnosis. Mucoepidermoid carcinoma (MEC), first described by Masson and Berger in 1924, is a well-recognized salivary gland neoplasm, accounting for 5-10% of all salivary gland tumors. MEC frequently involves the major salivary glands and is rarely seen involving the jaws. The biological behavior of MEC is usually more aggressive with higher nodal and metastatic status at the time of presentation, which notably reduces the survival rate. Hence, early and accurate diagnosis utilizing advanced imaging modalities can reduce its morbidity. The present case is a rare presentation of MEC involving the palate, where (18) F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) was utilized for diagnosis and treatment.
涎腺癌是一组临床特征多样的肿瘤,其组织学模式与其他肿瘤重叠,因此诊断较为复杂。黏液表皮样癌(MEC)于1924年由马森和伯杰首次描述,是一种公认的涎腺肿瘤,占所有涎腺肿瘤的5%至10%。MEC常累及大涎腺,累及颌骨的情况罕见。MEC的生物学行为通常更具侵袭性,就诊时淋巴结转移和远处转移情况更严重,这显著降低了生存率。因此,利用先进的成像方式进行早期准确诊断可降低其发病率。本病例是1例罕见的累及腭部的MEC,采用(18)F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG-PET/CT)进行诊断和治疗。