Liu Feng, Chang Jiang, Lu Lifang, Han Fei, Nan Jie, Zhu Baoyan
Department of Head and Neck Surgery,Shanxi Hospital Cancer Hospital of Chinese Academy of Medical Sciences,Shanxi Provincial Cancer Hospital,Taiyuan,030013,China.
Department of Pathology,Shanxi Hospital Cancer Hospital of Chinese Academy of Medical Sciences,Shanxi Provincial Cancer Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 Apr;37(4):307-310. doi: 10.13201/j.issn.2096-7993.2023.04.014.
Neuroendocrine carcinoma(NEC) is a malignant tumor derived from neuroendocrine cells, with distinct clinical, morphological and immunohistochemical characteristics. Neuroendocrine carcinoma of the head and neck is very rare in clinic. Larynx is the most common affected site, and the root of the tongue is extremely rare. The clinical manifestations are mainly eating pain, cauliflower like mass in the mouth, and ulcerative lesions that have not healed for a long time. Maxillofacial MRI and contrastenhanced CT are the most commonly used examination tools for such diseases, which can detect the spaceoccupying lesions of tumors. Neuroendocrine granules found in the cytoplasm under pathological light microscope can be diagnosed as neuroendocrine carcinoma. However, for most cases, it is difficult to make a diagnosis only under light microscope, and it is often necessary to make a diagnosis by means of immunohistochemistry and other technical means. This paper reports a case of neuroendocrine carcinoma of the root of the tongue, introduces its characteristics, diagnosis and treatment, and reviews the relevant literature of this case.
神经内分泌癌(NEC)是一种起源于神经内分泌细胞的恶性肿瘤,具有独特的临床、形态学和免疫组化特征。头颈部神经内分泌癌在临床上非常罕见。喉是最常见的受累部位,而舌根极为罕见。临床表现主要为进食疼痛、口腔内菜花样肿物以及长期不愈合的溃疡性病变。颌面磁共振成像(MRI)和增强CT是此类疾病最常用的检查工具,可检测肿瘤的占位性病变。病理光学显微镜下在细胞质中发现神经内分泌颗粒即可诊断为神经内分泌癌。然而,对于大多数病例,仅在光学显微镜下难以作出诊断,往往需要借助免疫组化等技术手段进行诊断。本文报告1例舌根神经内分泌癌病例,介绍其特点、诊断及治疗方法,并复习该病例的相关文献。