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口腔鳞状细胞癌远处转移至海绵窦:1例罕见病例报告

Remote Metastasis of Oral Squamous Cell Carcinoma to Cavernous Sinus: A Report of a Rare Case.

作者信息

Jadhav Anendd, Gupta Aishwarya, Bhola Nitin, Karia Hardik

机构信息

Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2022 Jul 27;14(7):e27373. doi: 10.7759/cureus.27373. eCollection 2022 Jul.

Abstract

The most frequently occurring malignant tumor of epithelial origin of the head and neck region is squamous cell carcinoma (SCC). It is characterized by loco regional dissemination whilst remote metastasis (RM) is rare. The lung, bone, and liver are the frequent sites for RM whilst involvement of the brain or cavernous sinus has an exceptionally rare occurrence. Owing to its rarity, lack of awareness amongst head neck surgeons, and absence of any evidence-based protocol, the optimal management strategies in this population are controversial and, hence, associated with dismal outcomes. The present case report exhibits a rare presentation of cavernous sinus metastasis in human papillomavirus (HPV)-related primary SCC arising from the lower gingivobuccal complex.

摘要

头颈部最常见的上皮源性恶性肿瘤是鳞状细胞癌(SCC)。其特点是局部区域扩散,而远处转移(RM)很少见。肺、骨和肝是RM的常见部位,而脑或海绵窦受累极为罕见。由于其罕见性、头颈外科医生对此缺乏认识以及缺乏任何循证方案,该人群的最佳管理策略存在争议,因此预后不佳。本病例报告展示了一例罕见的海绵窦转移病例,该病例为起源于下牙龈颊侧复合体的人乳头瘤病毒(HPV)相关原发性SCC。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b73a/9418633/1c9316d2eeec/cureus-0014-00000027373-i01.jpg

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