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一名30岁女性的腭部黏液表皮样癌,临床表现酷似化脓性肉芽肿。

Mucoepidermoid carcinoma of the palate mimicking a pyogenic granuloma in a 30-year-old woman.

作者信息

Faé Daniele Sorgatto, Ferreira Iara Vieira, Morais Thayná Melo Lima, Sanchez-Romero Celeste, Rios Celso Henrique Najar, Aquino Sibele Nascimento

出版信息

Gen Dent. 2023 Mar-Apr;71(2):28-31.

Abstract

Mucoepidermoid carcinoma (MEC) is the most common salivary gland adenocarcinoma, more frequently affecting female patients in the fifth decade of life. When MEC arises in the minor salivary glands, the palate is the primary site. This case report describes an MEC on the palate of a 30-year-old woman. The lesion was initially treated as a pyogenic granuloma, but the final diagnosis based on histopathology was low-grade MEC. The patient was referred for cancer treatment, and no recurrence was observed during 3 years of follow-up. Some malignant tumors can mimic nonneoplastic reactive lesions clinically, which highlights the importance of biopsy and proper microscopic analysis of the resulting specimens.

摘要

黏液表皮样癌(MEC)是最常见的涎腺腺癌,在50岁左右的女性患者中更为常见。当MEC发生于小涎腺时,腭部是主要部位。本病例报告描述了一名30岁女性腭部的MEC。该病变最初被当作化脓性肉芽肿治疗,但基于组织病理学的最终诊断为低级别MEC。患者被转诊接受癌症治疗,在3年的随访期间未观察到复发。一些恶性肿瘤在临床上可模仿非肿瘤性反应性病变,这凸显了活检及对所得标本进行适当显微镜分析的重要性。

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