鼻窦畸胎癌肉瘤：一例报告。
Sinonasal teratocarcinosarcoma: a case report.
作者信息
Foong Yi Chao, Murdolo Vince, Naiman Nusa, Hepner Laura, Awad Raef
机构信息
Department of Radiation Oncology, Royal Hobart Hospital, 17 Liverpool St, Hobart, Tasmania, 7000, Australia.
University of Tasmania, Hobart, Tasmania, Australia.
出版信息
J Med Case Rep. 2017 Jun 22;11(1):167. doi: 10.1186/s13256-017-1327-y.
BACKGROUND
Sinonasal teratocarcinosarcoma is a rare and aggressive malignancy with histological features of both carcinosarcoma and teratoma. The optimal management of this malignancy is unclear, with most patients being managed by a combination of surgery and radiotherapy.
CASE PRESENTATION
We describe an 83-year-old white woman with sinonasal teratocarcinosarcoma of her left nasal cavity treated with surgical debulking initially with radiological evidence of residual disease which was treated with radiotherapy (60 Gy in 30 fractions). A follow-up examination at 2 years showed no evidence of recurrence.
CONCLUSIONS
In cases of sinonasal teratocarcinosarcoma with residual disease post-surgery, radiotherapy alone can be an effective option.
背景
鼻窦畸胎癌肉瘤是一种罕见的侵袭性恶性肿瘤，具有癌肉瘤和畸胎瘤的组织学特征。这种恶性肿瘤的最佳治疗方法尚不清楚，大多数患者采用手术和放疗相结合的方式进行治疗。
病例报告
我们描述了一名83岁的白人女性，患有左侧鼻腔鼻窦畸胎癌肉瘤，最初接受了手术减瘤治疗，影像学检查显示有残留病灶，随后接受了放射治疗（30次分割，共60 Gy）。2年的随访检查显示没有复发迹象。
结论
对于术后有残留病灶的鼻窦畸胎癌肉瘤病例，单纯放疗可能是一种有效的选择。
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