Chen Yue, Wang Chi, Wang Hui-Ming, Li Jun, Zhu Hui-Yong
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Department of Pathology, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
J Dent Sci. 2017 Dec;12(4):413-416. doi: 10.1016/j.jds.2012.03.020. Epub 2012 Nov 17.
Small-cell carcinomas at extrapulmonary primary sites are rare but they have been documented to arise at various locations. We report a case of small-cell carcinoma arising in the mandible, which has so far not been reported in the literature. A 37-year-old male patient underwent partial resection of the left mandible and adjuvant chemotherapy. Immunohistochemistry confirmed the diagnosis of small-cell carcinoma with neuroendocrine properties. The patient has been free of disease for 18 months after receiving treatment and was alive at the time of writing. We recommend surgical resection followed by chemotherapy for managing small-cell carcinomas in the mandibular region.
肺外原发性小细胞癌很少见,但文献记载其可发生于多个部位。我们报告一例发生于下颌骨的小细胞癌,该病例迄今为止尚未见文献报道。一名37岁男性患者接受了左下颌骨部分切除术及辅助化疗。免疫组化确诊为具有神经内分泌特性的小细胞癌。该患者在接受治疗后已无病生存18个月,撰写本文时仍存活。我们建议对下颌骨区域的小细胞癌采用手术切除加化疗的治疗方法。