舌に発生した紡錘細胞癌の1例 A case of spindle cell carcinoma of the tongue

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著者

    • 大竹 史浩 OHTAKE Fumihiro
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine
    • 小谷 勇 KODANI Isamu
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine
    • 土井 理恵子 DOI Rieko
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine
    • 音田 貢 ONDA Mitugi
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine
    • 須藤 昌紀 SUDOH Masaki
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine
    • 領家 和男 RYOKE Kazuo
    • 鳥取大学医学部感覚運動医学講座口腔顎顔面病態外科学分野 Division of Oral and Maxillofacial Biopathological Surgery, Department of Medicine of Sensory and Motor Organs, School of Medicine, Tottori University Faculty of Medicine

抄録

Spindle cell carcinoma (SpCC) is a biphasic tumor consisting of a squamous cell carcinoma component and a sarcomatoid component of spindle cells. Without immunohistochemical or ultrastructural study, it is difficult to differentiate the sarcomatoid component of SpCC from sarcoma.<BR>We describe a case of spindle cell carcinoma arising as a polypoid mass in the tongue of a 74-year-old woman. The mass was successfully differentially diagnosed on immunohistochemical analysis. Pathological analysis of the tumor revealed three components of squamous cells, histiocyte-like cells, and spindle cells. Immunohistochemical characterization of tumor cells was done with antibodies to keratin, vimentin, smooth muscle actin, desmin, and 5-100 protein to differentiate SpCC from melanoma and leiomyosarcoma. The histiocyte-like cells and spindle cells were positive for keratin and vimentin, and negative for smooth muscle actin, desmin, and 5-100 protein. Given these findings, we diagnosed SpCC. In the 7 months following surgery, there has been no local recurrence or metastasis.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(5), 339-342, 2003-05-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  10件中 1-10件 を表示

被引用文献:  1件中 1-1件 を表示

各種コード

  • NII論文ID(NAID)
    10012629297
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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