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[上颌肉瘤样癌患者的治疗管理与预后概况(病例报告)]

[Therapeutic management and prognostic profile of a patient with maxillary sarcomatoid carcinoma (case report)].

作者信息

Sayad Zahra, Dani Bouchra, Azzouzi Rajaa El, Elouazzani Hafsa, Cherradi Nadia, Benazzou Salma, Boulaadas Malik

机构信息

Service de Chirurgie Maxillo-faciale et Stomatologie, Centre Hospitalier Universitaire, Rabat, Maroc.

Laboratoire d´Anatomie Pathologique, Centre Hospitalier Universitaire, Rabat, Maroc.

出版信息

Pan Afr Med J. 2021 Feb 24;38:212. doi: 10.11604/pamj.2021.38.212.26602. eCollection 2021.

Abstract

Sarcomatoid carcinoma is a rare, aggressive, malignant tumor with a poor prognosis and a very high frequency of recurrence. Carcinoma of the maxillary sinus is extremely rare. We report the case of a 42-year-old woman with left maxillary process. Biopsy revealed aggressive sarcomatoid carcinoma with a lymph-node metastasis. The patient underwent surgical excision, lymph-node dissection followed by radiotherapy with good outcome. The rarity of this site-specific cancer poses a problem of diagnosis and timely management which is still a controversial topic. However, wide surgical excision is the gold standard treatment. This study highlights the anatomoclinical peculiarities and, in particular, the prognostic features of this tumor.

摘要

肉瘤样癌是一种罕见的、侵袭性的恶性肿瘤,预后较差,复发频率很高。上颌窦癌极为罕见。我们报告一例42岁左侧上颌突女性患者。活检显示为具有淋巴结转移的侵袭性肉瘤样癌。患者接受了手术切除、淋巴结清扫,随后进行放疗,效果良好。这种特定部位癌症的罕见性带来了诊断和及时治疗的问题,这仍然是一个有争议的话题。然而,广泛的手术切除是金标准治疗方法。本研究强调了该肿瘤的解剖临床特点,特别是预后特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7370/8140686/8a532cd0df84/PAMJ-38-212-g001.jpg

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