이하선에 발생한 다형선종유래암종의 치험례
Carcinoma ex pleomorphic adenoma of the parotid gland: Case report
정진환, 이상철, 김동우, 박대송, 이슬기, 박철휘, 염학렬, 김현민,
소속 상세정보
정진환 ( jung Jin-Hwan ) - 가천의과학대학교 길병원 구강악안면외과
이상철 ( Lee Sang-Chul ) - 가천의과학대학교 길병원 구강악안면외과
김동우 ( Kim Dong-Woo ) - 가천의과학대학교 길병원 구강악안면외과
박대송 ( Park Dae-Song ) - 가천의과학대학교 길병원 구강악안면외과
이슬기 ( Lee Seul-Ki ) - 가천의과학대학교 길병원 구강악안면외과
박철휘 ( Park Chul-Hui ) - 가천의과학대학교 길병원 구강악안면외과
염학렬 ( Yeom Hak-Ryul ) - 가천의과학대학교 길병원 구강악안면외과
김현민 ( Kim Hyeon-Min ) - 가천의과학대학교 길병원 구강악안면외과
KMID : 0355620100360010053
Abstract
Carcinoma ex pleomorphic adenoma is transformed at the incidence of 1-20% in pleomorphic adenoma and frequently recurred. It accounts for 10% of all malignant salivary tumors and its average age of occurrence is 60s. It will present in a large, long-standing pleomorphic adenoma or in one that was previously treated but has recurred. According to cell composition in malignant cell carcinoma, and clear cell adenocarcinoma. Most (75%) occur in parotid gland, while about 20% occur in the minor gland of the oral mucosa. The metastasis rate to regional lymph node is about 25%, and to distant organs about 33% and the 5-year survival rates are 40%. Though the treatment of the carcinoma ex pleomorphic adenoma is not established, it is treated ideally with and extensive resection, neck dissection, postoperative radiotherapy, and chemotherapy. When occurred in parotid gland, facial paralysis is reported. With a review of literatures, we report a case of carcinoma ex pleomorphic adenoma which operated with total parotidectomy and supraomohyoid neck dissection.
키워드
Carcinoma ex pleomorphic adenoma;Supraomohyoid neck dissection
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