Ishimoto S, Tanaka T, Nibu K, Ishibashi T, Ichimura K, Yamada A
Department of Otolaryngology, Faculty of Medicine, University of Tokyo.
Nihon Jibiinkoka Gakkai Kaiho. 1995 Jul;98(7):1092-6. doi: 10.3950/jibiinkoka.98.1092.
We present a 58-year-old male patient with bilateral cheek swelling and an extraorally protruding tumor who has had deaf mutism since birth. He underwent surgery of the right hard palate 11 years ago. Five years later biopsy was performed for a recurrent lesion diagnosed as pleomorphic adenoma. He refused additional treatment and the size of the tumor subsequently increased slowly. As rapid tumor-growth had been observed since autumn of 1992, he was referred to Tokyo University Hospital. We took meticulous care of this deaf-mute patient, especially from the psychological aspect, which caused him to place great reliance upon us. We performed bilateral maxillectomy with partial resection of the right cheek skin and reconstructed his face and palate successfully using both latissmus dorsi and serratus anterior musculocutaneous free flaps with a rib. Histopathological diagnosis of the tumor was polymorphous low grade adenocarcinoma, which was registered as a definite entity in the WHO Classification in 1991. There was no evidence of local recurrence or metastasis one year postoperatively.
我们报告一名58岁男性患者，双侧脸颊肿胀，口外有一突出肿瘤，自出生起即患有聋哑症。11年前他接受了右侧硬腭手术。5年后，对复发病变进行活检，诊断为多形性腺瘤。他拒绝进一步治疗，随后肿瘤大小缓慢增加。自1992年秋季以来观察到肿瘤快速生长，他被转诊至东京大学医院。我们对这名聋哑患者给予了精心照料，尤其是在心理方面，这使他对我们非常信赖。我们进行了双侧上颌骨切除术，部分切除右侧脸颊皮肤，并使用背阔肌和前锯肌带肋骨的游离肌皮瓣成功重建了他的面部和腭部。肿瘤的组织病理学诊断为多形性低级别腺癌，该肿瘤于1991年被世界卫生组织分类确认为一个明确的实体。术后一年无局部复发或转移迹象。
