Wen Yi, Lv Ping, Wang Fulin, Shi Min, Zhang Xinxin, Feng Bo
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Aug;35(8):748-751. doi: 10.13201/j.issn.2096-7993.2021.08.016.
Oncocytic carcinoma of tongue is extremely rare. This paper reports a case of malignant transformation from oncocytic adenoma to oncocytic carcinoma. A 29-year-old man complained of pharyngeal bleeding and swallowing obstruction. The tumor at the base of the tongue was surgically removed and the pathological diagnosis was oncocytic adenoma. After 5 years, the patient found a tumor of the right neck and felt pharyngeal bleeding and swallowing obstruction again. The next year, he was treated with surgery, chemotherapy and radiotherapy, and was diagnosed as oncocytic carcinoma with cervical lymph node metastasis. The patient showed no sign of recurrence until 30 months after the second operation, when tumor of tongue was detected by electronic laryngoscope. Surgery, chemotherapy and radioactive seed implantation were adopted again. Up to now, the follow-up data showed no evidence of recurrence.
舌嗜酸细胞癌极为罕见。本文报告一例嗜酸细胞腺瘤恶变至嗜酸细胞癌的病例。一名29岁男性主诉咽部出血和吞咽梗阻。舌根部肿瘤经手术切除，病理诊断为嗜酸细胞腺瘤。5年后，患者发现右颈部有肿物，并再次出现咽部出血和吞咽梗阻。次年，他接受了手术、化疗和放疗，被诊断为嗜酸细胞癌伴颈部淋巴结转移。直到第二次手术后30个月，电子喉镜检查发现舌部有肿物，在此之前患者均无复发迹象。再次采用了手术、化疗和放射性粒子植入治疗。截至目前，随访数据显示无复发迹象。
