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口腔鳞状细胞癌合并同步滤泡性淋巴瘤：一例罕见病例报告。

Oral squamous cell carcinoma with synchronous follicular lymphoma: A rare case report.

作者信息

Binmadi Nada, Subahi Ghidaa, Alsharif Maha, Daous Yara, Jamal Basem, Alshinkity Hashim, Salleh Barefah Ahmed

机构信息

Department of Oral Diagnostic Sciences, King Abdulaziz University Faculty of Dentistry, Jeddah, Saudi Arabia.

Department of Anatomic Pathology, King Abdulaziz University Faculty of Medicine, Jeddah, Saudi Arabia.

出版信息

SAGE Open Med Case Rep. 2024 Feb 27;12:2050313X241233423. doi: 10.1177/2050313X241233423. eCollection 2024.

DOI:10.1177/2050313X241233423
PMID:38419799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10901051/
Abstract

The occurrence of oral squamous cell carcinoma synchronously with lymphoma arising primarily in cervical lymph nodes is rare. Here, we report a case representing an infrequent finding. A 66-year-old male who was diagnosed with right mandibular squamous cell carcinoma and was subsequently found to have a nodal follicular lymphoma as a second malignancy. The patient underwent surgical resection for the oral squamous cell carcinoma with right selective neck dissection. The multidisciplinary team's postoperative treatment strategy involved adjuvant radiotherapy for the oral squamous cell carcinoma, while adopting a close follow-up approach for the follicular lymphoma. After an 18-month follow-up, there were no evidence of disease progression. This case report highlights the diagnostic challenges of synchronous primary malignancies occurring in the head and neck region. It also underscores the importance to conduct a comprehensive clinical and histopathological examination to rule out the possibility of synchronous neoplasms.

摘要

口腔鳞状细胞癌与主要发生于颈部淋巴结的淋巴瘤同时出现的情况较为罕见。在此，我们报告一例罕见病例。一名66岁男性被诊断为右下颌鳞状细胞癌，随后被发现患有结节性滤泡性淋巴瘤这一第二原发恶性肿瘤。该患者接受了口腔鳞状细胞癌手术切除及右侧选择性颈清扫术。多学科团队的术后治疗策略包括对口腔鳞状细胞癌进行辅助放疗，而对滤泡性淋巴瘤采取密切随访的方法。经过18个月的随访，没有疾病进展的证据。本病例报告突出了头颈部区域同步发生原发性恶性肿瘤的诊断挑战。它还强调了进行全面临床和组织病理学检查以排除同步肿瘤可能性的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/d94976442f76/10.1177_2050313X241233423-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/f8371995cf8e/10.1177_2050313X241233423-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/ac747aaa04d7/10.1177_2050313X241233423-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/d94976442f76/10.1177_2050313X241233423-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/f8371995cf8e/10.1177_2050313X241233423-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/ac747aaa04d7/10.1177_2050313X241233423-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3721/10901051/d94976442f76/10.1177_2050313X241233423-fig3.jpg

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本文引用的文献

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Medicine (Baltimore). 2022 Jul 15;101(28):e28988. doi: 10.1097/MD.0000000000028988.
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Synchronous oral squamous cell carcinoma and a lymphoproliferative disorder in an adult: a challenge in diagnosis and management.成人中同时发生的口腔鳞状细胞癌和淋巴组织增生性疾病：诊断和管理方面的挑战。
BMJ Case Rep. 2022 Feb 8;15(2):e246641. doi: 10.1136/bcr-2021-246641.
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Oral squamous cell carcinoma: metastasis, potentially associated malignant disorders, etiology and recent advancements in diagnosis.
口腔鳞状细胞癌：转移、潜在相关恶性疾病、病因及诊断的最新进展。
F1000Res. 2020 Apr 2;9:229. doi: 10.12688/f1000research.22941.1. eCollection 2020.
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Survival of patients with head and neck cancer with metachronous multiple primary tumors is surprisingly favorable.头颈部癌症患者的异时性多原发肿瘤的存活率出奇地好。
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Follicular lymphoma: 2018 update on diagnosis and management.滤泡性淋巴瘤：2018 年诊断与治疗更新。
Am J Hematol. 2018 Feb;93(2):296-305. doi: 10.1002/ajh.24937.
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