Jordan J, Jordan E, Piotrowski S M, Augustyniak M, Smiałek U
Oddział Otolaryngologiczny Szpitala Miejskiego im. J. Brudzińskiego w Gdyni.
Otolaryngol Pol. 1998;52(4):471-4.
A case of a 80-year-old woman suffering from Merkel cell carcinoma of the auricle with regional cervical lymph nodes metastases has been described. Surgical treatment (tumour and regional lymph nodes dissection) was applied at first. Metastasis to one lymph node was established in postoperative histological examination. Chemotherapy (farmorubicin, cyclophosphamide, vincristine) in 3 cycles was applied within 2 months. In spite of the above, 4 months after tumour excision, metastatic lymph node manifested in the neck. Combined treatment, radical neck dissection and radiotherapy was applied then.
描述了一例80岁女性患有耳廓默克尔细胞癌并伴有区域颈淋巴结转移的病例。首先采用了手术治疗(肿瘤及区域淋巴结清扫)。术后组织学检查发现一个淋巴结有转移。在2个月内进行了3个周期的化疗(表柔比星、环磷酰胺、长春新碱)。尽管如此,肿瘤切除4个月后,颈部出现了转移性淋巴结。随后采用了联合治疗,即根治性颈清扫术和放疗。