Krishnamurthy Arvind
Departments of Surgical Oncology, Cancer Institute (WIA), 38, Sardar Patel Rd, Adyar, Chennai, 600020 India.
Indian J Surg Oncol. 2015 Sep;6(3):263-6. doi: 10.1007/s13193-015-0386-z. Epub 2015 Mar 11.
Myoepithelial carcinoma (MC) is rare disease that comprises of only about 2 % of all salivary gland carcinomas and MC that focally or predominantly displays clear cell-type tumor cells are considered as CCMC. We recently got to treat a rare case of a base tongue clear cell myoepithelial carcinoma. (CCMC) Our patient, to the best of our knowledge is the second case of base tongue CCMC and the first with metastatic involvement of the cervical lymph nodes. We successfully managed the tumor using the "mandible preserving pull-through oropharyngectomy approach" Knowledge of the different surgical approaches and techniques is thus vital for better oncologic, functional and aesthetic outcomes following surgery for tumors especially in challenging sub sites like the oropharynx.
肌上皮癌(MC)是一种罕见疾病,仅占所有涎腺癌的约2%,而局灶性或主要表现为透明细胞型肿瘤细胞的MC被视为透明细胞肌上皮癌(CCMC)。我们最近诊治了一例罕见的舌根透明细胞肌上皮癌(CCMC)病例。据我们所知,我们的患者是第二例舌根CCMC病例,也是第一例伴有颈部淋巴结转移的病例。我们采用“保留下颌骨的经口咽拉出切除术”成功地处理了该肿瘤。因此,了解不同的手术方法和技术对于肿瘤手术后获得更好的肿瘤学、功能和美学效果至关重要,尤其是在口咽等具有挑战性的亚部位。