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舌后侧及外侧缘鳞状细胞癌侵犯口底之晚期病例。

Advanced Case of Squamous Cell Carcinoma of the Posterior-Lateral Border of the Tongue Invading the Floor of the Mouth.

机构信息

Department of Oral Medicine and Maxillofacial Radiology, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.

Department of Orthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.

出版信息

Med Arch. 2022 Aug;76(4):305-307. doi: 10.5455/medarh.2022.76.305-307.

Abstract

BACKGROUND

Squamous cell carcinoma (SCC) is a common cancer of the oral cavity. It mainly affects patients aged over 50 with male-to-female ratio 2:1. Most of the cases of oral SCC are linked to tobacco and alcohol use.

OBJECTIVE

In this report, we present a case of a 67-year-old male with a mass on the posterior-lateral border of the tongue.

CASE REPORT

In this report, we present a case of a 67-yearold male with a mass on the posterior-lateral border of the tongue. Being heavy smoker and alcoholic since a young age, he was at high-risk of developing oral cancer. After thorough clinical, histopathological, and imaging assessments a poorly differentiated stage III (T3, N1, M0) SCC was confirmed. He underwent left hemiglossectomy with marginal mandibulectomy and radical neck dissection followed by radiation therapy.

CONCLUSION

SCCs of the tongue can be often asymptomatic and identified at advanced phase leading to a poor prognosis. Therefore, their early diagnosis/management, and regular postoperative follow-ups are mandatory for better treatment outcome and recurrence prevention.

摘要

背景

鳞状细胞癌(SCC)是一种常见的口腔癌。它主要影响 50 岁以上的男性患者,男女比例为 2:1。大多数口腔 SCC 与烟草和酒精的使用有关。

目的

本报告介绍了一例 67 岁男性舌后外侧缘肿块病例。

病例报告

本报告介绍了一例 67 岁男性舌后外侧缘肿块病例。该患者自年轻时就重度吸烟和酗酒,属于口腔癌高危人群。经过全面的临床、组织病理学和影像学评估,确诊为分化差的 III 期(T3、N1、M0)SCC。他接受了左侧半舌切除术、下颌骨部分切除术和根治性颈淋巴结清扫术,随后进行了放射治疗。

结论

舌 SCC 通常无症状,且发现时已处于晚期,导致预后较差。因此,早期诊断/治疗和定期术后随访对于获得更好的治疗效果和预防复发至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/250a/9559884/5757c8762963/medarch-76-305-g001.jpg

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