Wang Chenxing, Zhang Zhuoyuan, Li Longjiang
Department of Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan 610041, P.R. China.
Oncol Lett. 2016 May;11(5):3139-3141. doi: 10.3892/ol.2016.4361. Epub 2016 Mar 22.
Myoepithelial carcinoma (MEC) of the vallecula is relatively rare, and there is no specific surgical guideline for resecting MEC in the vallecula. To the best of our knowledge, the current study reports the first case of MEC involving the vallecula of a 48-year-old female patient. In the present study, the lesion was correctly diagnosed as MEC and successfully managed using lateral pharyngotomy and by the construction of a sternohyoid myofascial flap. The patient was free of local recurrence or metastasis 18 months after surgery. The present study briefly reviews the current knowledge concerning the diagnosis and treatment of MECs in the head and neck area and offers suggestions for managing MEC in the vallecula. To conclude, MEC of the vallecula may be successfully managed by surgical treatment without evident post-surgery complications.
会厌谷肌上皮癌(MEC)相对罕见,目前尚无针对会厌谷MEC切除的具体手术指南。据我们所知,本研究报道了首例累及一名48岁女性患者会厌谷的MEC。在本研究中,该病变被正确诊断为MEC,并通过外侧咽切开术和胸舌骨肌肌筋膜瓣的构建成功治疗。患者术后18个月无局部复发或转移。本研究简要回顾了目前关于头颈部MEC诊断和治疗的知识,并为会厌谷MEC的治疗提供了建议。总之,会厌谷MEC可通过手术治疗成功处理,且无明显术后并发症。