Acinic cell carcinoma ślinianki przyusznej o nietypowym obrazie klinicznym i niekorzystnym przebiegu
Journal Title: Otolaryngologia Polska - Year 2009, Vol 63, Issue 5
Abstract
Differential diagnosis of neck tumours puts precedence on diagnosing neoplastic lesions. In the case of neck tumours, these are unfortunately late signs , but in patients with a primary neoplastic focus within the head and neck, neck tumour is often the fi rst sign of the disease. The authors describe a clinical case of neck tumour with initially unclear etiology. The preoperative diagnostics including ultrasonography, thin-needle puncture, MRI, carotid angiography and videostrobos copy was signifi cant for surgical treatment planning; yet it was the intraoperative clinical picture which indicated that the tumour derived from the inferior parotid pole. The preoperative histopathological diagnosis using thin- needle biopsy: cellulae carcinomatosae and the clinical picture resulted in block operation with neck lymphatic system removal and tissue defect reconstruction by means of a pectoral fl ap. The histopathological examination confi rmed non-cornifying basal cell epithelioma only in the essential lesion with no metastases to lymph nodes and surrounding tissue margins free of infi ltrates. Two and a half years after the procedure,the patient presented with a tumour localized on the front thoracic wall and two rapidly enlarging tumours in the nape of the neck.In the collected specimen of the tumour on the front thoracic wall, a diagnosis of acinic cell carcinoma was made. The deteriorating general condition of the patient, his cancer emaciation , problems with movement and suspected liver metastases confi rmed by abdominal USG as well as radiological bone lesions resulted in the abandonment of surgical treatment due to disseminated neoplastic process and the patient was referred for palliative care.
Authors and Affiliations
Józef Komorski, Jan Nienartowicz
Keywords
Related Articles
- EP ID EP51813
- DOI -
- Views 109
- Downloads 0
Nieprawidłowości bocznej ściany nosa współistniejące z polipami choanalnymi u dzieci
SUMMARY Antrochoanal polyps are more frequent in children than in adults. Pato-mechanism of their development is stili unclear. New diagnostic methods allow precise examination of lateral nasal wali pathologies. Aim of t...
Severe injury within the splanchnocranium and neck with penetration of foreign bodies in wood processing
Introduction: The aim of this work was to describe the patient with severe injury within the splanchnocranium and neck connected with the penetration of large foreign bodies in his wood processing activity, and their imp...
Assessment of Tumor Necrosis Factor alpha gene expression profile in selected structures of middle ear in patients with tympanosclerosis
SUMMARY Aim of the study: Tympanosclerosis is a middle ear disease located in submucous membrane. It leads to the tympanic membrane and ear ossicles fixation which results in severe conductive hearing impairment. The eti...
Management of recurrent sinonasal inverted papilloma in the experience of ENT Department Medical University of Warsaw
Introduction: Inverted papilloma is benign epidermal neoplasm of not recognized etiology. The lesion is estimated to represent 0.5-4% of sinonasal tumors. Generally inverted papilloma is unilateral, arises from the later...
The healing process of tympanic membrane perforations in rats
The aim of the study was otoscopical and histological evaluation of the rat's TM healing process. Material and methods : 56 male Wistar rats were used for the study. Fifty of them had TMs perforated bilaterally using CO2...