腮腺黏液表皮样癌的球结膜转移——病例报告及文献复习
Bulbar conjunctival metastasis from mucoepidermoid carcinoma of parotid-a case report and review of literature.
作者信息
Yadav Rajshri, Battoo Azhar J, Mir Abdul W, Haji Altaf G
机构信息
Department of Otorhinolaryngology, Sher-i-Kashmir Institute of Medical Sciences Medical College, Srinagar, 190011, India.
Surgical Oncology, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, 190011, India.
出版信息
World J Surg Oncol. 2017 Jan 7;15(1):10. doi: 10.1186/s12957-016-1077-0.
BACKGROUND
Mucoepidermoid carcinoma of salivary glands usually metastasizes to the lungs, liver, bone, brain, and skin. We report a rare case of distant metastasis of high-grade mucoepidermoid carcinoma of the parotid to the ipsilateral bulbar conjunctiva of the eye.
CASE PRESENTATION
Sixty-year-old male of Kashmiri origin presented to our tertiary care referral cancer institute with exophytic lesion of the left bulbar conjunctiva following his treatment for mucoepidermoid cancer of ipsilateral parotid gland, 9 months back. The lesion was biopsied and reported as high-grade mucoepidermoid carcinoma. Radiological imaging showed no other site of recurrence. The patient underwent orbital exenteration and final histopathological evaluation reported the lesion as mucoepidermoid carcinoma.
CONCLUSIONS
Distal metastasis from mucoepidermoid carcinoma to bulbar conjunctiva is very rare and to the best of our knowledge has not been previously reported.
背景
涎腺黏液表皮样癌通常转移至肺、肝、骨、脑和皮肤。我们报告一例罕见的腮腺高级别黏液表皮样癌远处转移至同侧眼球结膜的病例。
病例介绍
一名60岁克什米尔裔男性，9个月前因同侧腮腺黏液表皮样癌接受治疗后，出现左眼球结膜外生性病变，就诊于我们的三级医疗转诊癌症研究所。对该病变进行活检，报告为高级别黏液表皮样癌。影像学检查未显示其他复发部位。患者接受了眶内容剜除术，最终组织病理学评估报告该病变为黏液表皮样癌。
结论
黏液表皮样癌向眼球结膜的远处转移非常罕见，据我们所知，此前尚未有过报道。
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