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小涎腺低度导管内癌:一例报告及临床见解

Low-grade intraductal carcinoma in minor salivary glands: A case report and clinical insights.

作者信息

Louizakis Alexandros, Tatsis Dimitris, Papadopoulou Stavroula, Vahtsevanos Konstantinos

机构信息

Department of Oral and Maxillofacial Surgery, Aristotle University, General Hospital of Thessaloniki G. Papanikolaou, Thessaloniki, Greece.

出版信息

J Oral Maxillofac Pathol. 2024 Jan-Mar;28(1):125-129. doi: 10.4103/jomfp.jomfp_500_22. Epub 2024 Apr 15.

Abstract

RATIONALE

Low-grade intraductal carcinoma (LG-IC), is a rare malignant tumour of the salivary glands which has a very good prognosis and must be differentiated from the other types of salivary gland malignant tumours, which have a totally different behaviour and a worse prognosis.

PATIENT CONCERNS

A case is presented of a 52-year-old woman who was first diagnosed and treated in another clinic in 2019 for an LG-IC in the left submandibular gland space. Two years later, she was admitted to our department with a new lesion, this time in the upper jaw lip on the left side, which also turned out to be LG-IC.

DIAGNOSIS

Magnetic resonance imaging and positron emission tomography-computed tomography were performed in order to diagnose and adequately stage the disease prior to the therapeutic intervention.

OUTCOMES

A 6-month follow-up reveals no sign of recurrence.

TAKEAWAY LESSONS

Literature on this rare histopathological entity, as well as the differential diagnosis with the other malignant lesions of the salivary glands and the frequency of metastasis, were reviewed.

摘要

理论依据

低级别导管内癌(LG-IC)是一种罕见的涎腺恶性肿瘤,预后非常好,必须与其他类型的涎腺恶性肿瘤相鉴别,后者具有完全不同的生物学行为和更差的预后。

患者情况

本文报告一例52岁女性患者,2019年首次在另一家诊所被诊断并治疗左下颌下腺间隙的低级别导管内癌。两年后,她因新病灶入住我科,此次病灶位于左侧上唇,结果也是低级别导管内癌。

诊断

在进行治疗干预之前,进行了磁共振成像和正电子发射断层扫描-计算机断层扫描,以诊断疾病并进行充分的分期。

结果

6个月的随访显示无复发迹象。

经验教训

回顾了关于这种罕见组织病理学实体的文献,以及与涎腺其他恶性病变的鉴别诊断和转移频率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d95/11126239/e65004f66c5a/JOMFP-28-125-g001.jpg

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