酷似口腔癌转移的腮腺外沃辛瘤
Extraparotid Warthin Tumors Imitating Metastasis of Oral Cancers.
作者信息
Gontarz Michał, Gąsiorowski Krzysztof, Bargiel Jakub, Marecik Tomasz, Szczurowski Paweł, Zapała Jan, Wyszyńska-Pawelec Grażyna
机构信息
Department of Cranio-Maxillofacial Surgery, Jagiellonian University Medical College, Cracow, Poland.
出版信息
Int Arch Otorhinolaryngol. 2021 Oct 19;26(2):e278-e280. doi: 10.1055/s-0041-1724090. eCollection 2022 Apr.
Abstract
Extraparotid Warthin tumor (WT) is a very rare entity, especially when synchronous with oral cancer (OC). The present study presents a case series of extraparotid WTs detected in the surgical specimen of patients treated for OC. From 2007 to 2016, 336 patients were operated for OC in our institution. Neck dissection was performed in 306 patients. In the 306 patients operated for OC whose necks were dissected, unexpected WTs were observed in 4 surgical neck specimens. In 3 cases, extraparotid WTs were responsible for tumor, node, metastasis (TNM) overstaging before surgery. Extraparotid WTs may be discovered during neck dissection in ∼ 1% of OC patients, and they may mimic neck metastasis, especially in positron-emission tomography/computed tomography (PET/CT) imaging.
摘要
腮腺外沃辛瘤（WT）是一种非常罕见的疾病，尤其是与口腔癌（OC）同时发生时。本研究呈现了一系列在接受OC治疗的患者手术标本中检测到的腮腺外WT病例。2007年至2016年，我院有336例患者接受了OC手术。306例患者进行了颈部清扫。在306例接受OC手术且进行了颈部清扫的患者中，4例手术颈部标本中意外发现了WT。在3例病例中，腮腺外WT导致了术前肿瘤、淋巴结、转移（TNM）分期过高。约1%的OC患者在颈部清扫过程中可能发现腮腺外WT，并且它们可能类似颈部转移，尤其是在正电子发射断层扫描/计算机断层扫描（PET/CT）成像中。
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