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导致涎腺导管腺癌诊断的麻木性颏部综合征:一例报告及文献复习

Numb Chin Syndrome Leading to a Diagnosis of Salivary Ductal Adenocarcinoma: A Case Report and Review of the Literature.

作者信息

Wu Lei, Zheng Yifan, Zhou Zhou, Liu Yanmei, Zhang Weixi, Wu Qi

机构信息

Department of Neurology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

出版信息

Front Neurol. 2017 Jul 25;8:343. doi: 10.3389/fneur.2017.00343. eCollection 2017.

Abstract

Numb chin syndrome (NCS) refers to a rare sensory neuropathy characterized by numbness of the chin within the distribution of the mental or inferior alveolar nerve. Although NCS is usually caused by a benign process, it should not be underestimated and a thorough diagnostic evaluation for a new or known progressive malignancy should always be performed. Here, we report a case of salivary ductal adenocarcinoma that mimicked a pulpitis and periodontitis in its early presentation accompanied by numbness of chin. The course and diagnosis of this case are discussed, and a brief review of the literature is presented. It is hoped for clinicians to keep the malignant possibility of NCS in mind and take a thorough examination.

摘要

麻木性颏综合征(NCS)是一种罕见的感觉神经病变,其特征为颏部在颏神经或下牙槽神经分布区域内出现麻木。尽管NCS通常由良性病变引起,但不应被低估,对于新发或已知的进行性恶性肿瘤应始终进行全面的诊断评估。在此,我们报告一例涎腺导管腺癌病例,该病例在早期表现为类似牙髓炎和牙周炎,并伴有颏部麻木。本文讨论了该病例的病程及诊断,并对相关文献进行了简要综述。希望临床医生牢记NCS的恶性可能性并进行全面检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45c7/5526228/2b83a105146b/fneur-08-00343-g001.jpg

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