NEJM:舌梭形细胞肉瘤-病例报道

2019-02-28 xing.T 网络

梭形细胞肉瘤是一种罕见的结缔组织肿瘤,可以快速生长。该患者接受了手术,包括半切除术,并接受了辅助化疗。

患者为一名54岁男子,因难以咀嚼食物2月余而到口腔颌面门诊就诊。他报告说,在过去的两个月里,他的舌头上存在多年的白色斑块中心长出了一个无痛的棕色病变。他没有吸烟史,也不饮酒。

对口腔的检查发现有一个界限良好的硬质肿块,尺寸为8毫米×7毫米,并被舌头右侧的白色斑块包围。该患者没有可触及的颈部淋巴结肿大。病变的切口活检显示高级、未分化的梭形细胞肉瘤。



梭形细胞肉瘤是一种罕见的结缔组织肿瘤,可以快速生长。该患者接受了手术,包括半切除术,并接受了辅助化疗。

在化疗结束后1年的随访中,他没有复发的证据,并报告只有一些轻微的吞咽困难。

原始出处:

Matteo Brucoli,et al.Spindle-Cell Sarcoma of the Tongue.N Engl J Med 2019;https://www.nejm.org/doi/full/10.1056/NEJMicm1810192

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2033115, encodeId=8d772033115fc, content=<a href='/topic/show?id=e4b66248684' target=_blank style='color:#2F92EE;'>#梭形细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62486, encryptionId=e4b66248684, topicName=梭形细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=685a124, createdName=muzishouyi, createdTime=Sun Dec 08 08:52:00 CST 2019, time=2019-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=361656, encodeId=0f02361656d1, content=高, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/62OcmoROoeBn6Sf1NfTfUreQUklw8XvMSrPa042C32kXPJmavCct2Ghqa2X1Wc5P1q494RKicWRyJTJhZFM9rHA/132, createdBy=d1542553914, createdName=德里克王, createdTime=Thu Feb 28 09:28:21 CST 2019, time=2019-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=361653, encodeId=a4e3361653ee, content=学习了,谢谢啦, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Thu Feb 28 08:58:29 CST 2019, time=2019-02-28, status=1, ipAttribution=)]
    2019-02-28 德里克王

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  3. [GetPortalCommentsPageByObjectIdResponse(id=2033115, encodeId=8d772033115fc, content=<a href='/topic/show?id=e4b66248684' target=_blank style='color:#2F92EE;'>#梭形细胞#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62486, encryptionId=e4b66248684, topicName=梭形细胞)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=685a124, createdName=muzishouyi, createdTime=Sun Dec 08 08:52:00 CST 2019, time=2019-12-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=361656, encodeId=0f02361656d1, content=高, beContent=null, objectType=article, channel=null, level=null, likeNumber=81, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/62OcmoROoeBn6Sf1NfTfUreQUklw8XvMSrPa042C32kXPJmavCct2Ghqa2X1Wc5P1q494RKicWRyJTJhZFM9rHA/132, createdBy=d1542553914, createdName=德里克王, createdTime=Thu Feb 28 09:28:21 CST 2019, time=2019-02-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=361653, encodeId=a4e3361653ee, content=学习了,谢谢啦, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=60791943465, createdName=1e0f8808m18(暂无匿称), createdTime=Thu Feb 28 08:58:29 CST 2019, time=2019-02-28, status=1, ipAttribution=)]
    2019-02-28 1e0f8808m18(暂无匿称)

    学习了,谢谢啦

    0

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