Raustia A M, Oikarinen K S, Luotonen J, Salo T, Pyhtinen J
Department of Prosthodontics and Stomatognathic Physiology, Institute of Dentistry, University of Oulu, Finland.
Cranio. 1993 Apr;11(2):153-6. doi: 10.1080/08869634.1993.11677957.
The following case involves a 33-year-old woman who received two accidental blows to her left temporomandibular joint (TMJ) region six months before her first visit to the Institute of Dentistry, University of Oulu. Both clinical and computed tomography (CT) examinations of this left TMJ strongly favored a diagnosis of craniomandibular disorders (CMD). However, a fine needle biopsy and an histopathological examination of the parotid gland established the final diagnosis as poorly differentiated adenocarcinoma of the parotid gland. The course of the disease was very aggressive developing several metastases, and the patient died 24 months after the diagnosis. The presence of facial nerve paralysis, especially in combination with cheek numbness in the parotid region, should have strongly suggested the possibility of such a malignancy.
以下病例涉及一名33岁女性，在她首次就诊于奥卢大学牙科学院的六个月前，其左颞下颌关节（TMJ）区域意外受到两次撞击。对该左侧颞下颌关节进行的临床检查和计算机断层扫描（CT）均强烈支持颅下颌疾病（CMD）的诊断。然而，腮腺的细针穿刺活检及组织病理学检查最终确诊为腮腺低分化腺癌。该疾病进展非常迅速，出现了多处转移，患者在确诊后24个月死亡。面神经麻痹的出现，尤其是与腮腺区域的脸颊麻木相结合，本应强烈提示存在这种恶性肿瘤的可能性。
