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下颌骨骨内黏液表皮样癌:一例罕见病例报告及文献复习。

Intraosseous mucoepidermoid carcinoma of mandible: a rare case presentation and literature review.

机构信息

Oral and Maxillofacial Surgery, Saint Joseph's Dental College, Eluru-Duggirala, Andhra Pradesh, India

Oral and Maxillofacial Surgery, GSL Dental College and Hospital, Rajahmundry, Andhra Pradesh, India.

出版信息

BMJ Case Rep. 2022 Apr 6;15(4):e247489. doi: 10.1136/bcr-2021-247489.

Abstract

Intraosseous mucoepidermoid carcinoma (IMC) is an atypical salivary gland neoplasm commonly seen in middle-aged adults. Their presentation in young individuals below the age group of 20 years is sporadic. Treatment modality mainly includes radical surgical resection for malignant tumours. There were only 13 reported cases of IMC of mandible below the age of 20 years in the English literature. All the reported cases were only managed with wide resection and radiotherapy. Surgical resection leads to loss of form and function in the young population, decreasing their morale. Hence, reconstruction should be mandated in young individuals for restoring function and aesthetics. We present a case of IMC of the mandible in a young female individual resected and reconstructed with a free fibula bone graft. Satisfactory healing is elicited with no recurrence at the 2-year follow-up period.

摘要

骨内黏液表皮样癌(IMC)是一种常见于中老年人的非典型涎腺肿瘤。20 岁以下的年轻人中,这种肿瘤较为罕见。治疗方法主要包括恶性肿瘤的根治性手术切除。在英文文献中,仅有 13 例下颌骨 IMC 发生在 20 岁以下。所有报告的病例均仅采用广泛切除和放疗治疗。手术切除会导致年轻患者的形态和功能丧失,降低他们的士气。因此,对于年轻患者,重建应该是恢复功能和美观的必要手段。我们报告了一例下颌骨 IMC 年轻女性患者,采用游离腓骨骨移植进行切除和重建。2 年随访期内,患者愈合情况良好,无复发。

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