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复发性鼻窦腺样囊性癌：一例罕见病例报告。

Recurrent adenoid cystic carcinoma of paranasal sinuses: A rare case report.

作者信息

Wahed Sarah Abdul, Pradeepthi Katakam, Kiran Madala Jaya, Rao Guttikonda Venkateswara

机构信息

Department of Oral Pathology and Microbiology, Mamata Dental College, Khammam, Telangana, India.

出版信息

J Oral Maxillofac Pathol. 2020 Feb;24(Suppl 1):S28-S32. doi: 10.4103/jomfp.JOMFP_10_20. Epub 2020 Feb 28.

DOI:10.4103/jomfp.JOMFP_10_20
PMID:32189900
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7069138/
Abstract

Adenoid cystic carcinoma (ACC) is a distinct salivary gland neoplasm that predominantly occurs in the minor salivary gland. ACC is an uncommon tumor that progress slowly affecting 5% of paranasal sinuses with high distant metastasis rate in advance stages. This salivary gland tumor is difficult to diagnose both clinically and histopathologically due to its indolent presentation and diverse histopathological patterns. Hence, immunohistochemistry plays a decisive role in diagnosing this tumor. A recurrent case of ACC of paranasal sinuses in the maxillary sinus of a 41-year-old female patient without any extraoral abnormality is reported.

摘要

腺样囊性癌（ACC）是一种独特的涎腺肿瘤，主要发生于小涎腺。ACC是一种罕见肿瘤，进展缓慢，5%发生于鼻窦，晚期远处转移率高。这种涎腺肿瘤由于其临床表现隐匿和组织病理学模式多样，在临床和组织病理学上都难以诊断。因此，免疫组化在该肿瘤的诊断中起决定性作用。本文报道了一例41岁女性患者上颌窦鼻窦腺样囊性癌复发病例，该患者无任何口外异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/cd94c36867af/JOMFP-24-28-g012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/3ed7054e160b/JOMFP-24-28-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/cd94c36867af/JOMFP-24-28-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/2e326310ff08/JOMFP-24-28-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/932db056a9ec/JOMFP-24-28-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/a2632b9669d2/JOMFP-24-28-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/a3ee8deeb900/JOMFP-24-28-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/a917b7190c4b/JOMFP-24-28-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/3ed7054e160b/JOMFP-24-28-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/e0871961c2bf/JOMFP-24-28-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/3c83681869ff/JOMFP-24-28-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/36f346fd1dd0/JOMFP-24-28-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/af71c0246de1/JOMFP-24-28-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/1c6e62afeeb7/JOMFP-24-28-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3f2/7069138/cd94c36867af/JOMFP-24-28-g012.jpg

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本文引用的文献

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Long-term local control rates of patients with adenoid cystic carcinoma of the head and neck managed by surgery and postoperative radiation.接受手术及术后放疗的头颈部腺样囊性癌患者的长期局部控制率。
Laryngoscope. 2017 Oct;127(10):2265-2269. doi: 10.1002/lary.26565. Epub 2017 Mar 21.
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Adenoid Cystic Carcinoma of Maxillary Sinus Misdiagnosed as Chronic Apical Periodontitis.上颌窦腺样囊性癌误诊为慢性根尖周炎
J Oral Maxillofac Surg. 2017 Jun;75(6):1303.e1-1303.e7. doi: 10.1016/j.joms.2017.01.023. Epub 2017 Feb 1.
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Risk factors and prognosis for salivary gland adenoid cystic carcinoma in southern china: A 25-year retrospective study.
中国南方涎腺腺样囊性癌的危险因素及预后：一项25年的回顾性研究。
Medicine (Baltimore). 2017 Feb;96(5):e5964. doi: 10.1097/MD.0000000000005964.
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Clinicopathologic and prognostic factors in adenoid cystic carcinoma of head and neck minor salivary glands: A clinical analysis of 130 cases.头颈部小涎腺腺样囊性癌的临床病理及预后因素：130例临床分析
Am J Otolaryngol. 2017 Mar-Apr;38(2):157-162. doi: 10.1016/j.amjoto.2016.11.014. Epub 2016 Nov 23.
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Retrospective analysis of nonendodontic periapical lesions misdiagnosed as endodontic apical periodontitis lesions in a population of Taiwanese patients.回顾性分析台湾人群中非根管根尖周病变误诊为根管根尖周炎病变。
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