经口机器人手术切除咽旁复发性多形性腺瘤 1 例报告
Transoral robotic surgery for parapharyngeal carcinoma ex-pleomorphic adenoma: A case report.
机构信息
Department of Head and Neck, Instituto Nacional de Cancerología, Bogotá, DC, Colombia.
Department of Otorhinolaryngology, Universidad Nacional de Colombia and Hospital Universitario Nacional de Colombia, Bogotá, DC, Colombia.
出版信息
Cancer Rep (Hoboken). 2022 Nov;5(11):e1692. doi: 10.1002/cnr2.1692. Epub 2022 Aug 9.
BACKGROUND
Carcinoma ex-pleomorphic adenoma (Ca ex-PA) comprises 0.5% of head and neck neoplasms. Transoral robotic surgery (TORS) is an approach being used to treat a variety of benign and malignant head and neck neoplasms. Recently, this technique has gained popularity as an alternative for parapharyngeal space (PPS) tumor resection. To our knowledge, this is the first case of Ca ex-PA managed successfully by TORS of the PPS.
CASE
Fifty-nine-year-old male with incidental mass in PPS, initial diagnosis of pleomorphic adenoma, who underwent transoral robotic resection. The histopathology diagnosis with minimally invasive Ca ex-PA findings and malignant component of high-grade epithelial/myoepithelial carcinoma and salivary duct carcinoma. Patient discharged on the fifth post-operative day without complications.
CONCLUSION
Based on our findings, TORS may be a safe procedure to remove selected Ca ex-PA from the PPS; however, further research is needed.
背景
癌型多形性腺瘤（Ca ex-PA）占头颈部肿瘤的 0.5%。经口机器人手术（TORS）是一种用于治疗多种良性和恶性头颈部肿瘤的方法。最近，该技术作为咽旁间隙（PPS）肿瘤切除术的替代方法越来越受欢迎。据我们所知，这是首例通过 TORS 成功治疗 PPS 癌型多形性腺瘤的病例。
病例
一名 59 岁男性，PPS 中偶然发现肿块，最初诊断为多形性腺瘤，行经口机器人切除术。组织病理学诊断为具有微创性的 Ca ex-PA 表现，以及高级别上皮/肌上皮癌和唾液腺癌的恶性成分。患者术后第 5 天无并发症出院。
结论
根据我们的发现，TORS 可能是一种安全的方法，可以从 PPS 中切除选定的 Ca ex-PA；然而，需要进一步的研究。
Zotero 插件