血清中癌胎児性抗原が高値を示した上顎洞腺扁平上皮癌の1例 A case of adenosquamous carcinoma in the maxillary sinus with elevated serum levels of carcinoembryonic antigen

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著者

    • 内田 大亮 UCHIDA Daisuke
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔腫瘍制御学分野 Department of Therapeutic Regulation for Oral Tumors, Institute of Health Biosciences, Tokushima University Graduate School
    • 東 雅之 AZUMA Masayuki
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔腫瘍制御学分野 Department of Therapeutic Regulation for Oral Tumors, Institute of Health Biosciences, Tokushima University Graduate School
    • 富塚 佳史 [他] TOMIZUKA Yoshifumi
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔腫瘍制御学分野 Department of Therapeutic Regulation for Oral Tumors, Institute of Health Biosciences, Tokushima University Graduate School
    • 高丸 菜都美 TAKAMARU Natsumi
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔腫瘍制御学分野 Department of Therapeutic Regulation for Oral Tumors, Institute of Health Biosciences, Tokushima University Graduate School
    • 林 良夫 HAYASHI Yoshio
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔分子病態学分野 Department of Oral Molecular Pathology, Institute of Health Biosciences, Tokushima University Graduate School
    • 佐藤 光信 SATO Mitsunobu
    • 徳島大学大学院ヘルスバイオサイエンス研究部口腔腫瘍制御学分野 Department of Therapeutic Regulation for Oral Tumors, Institute of Health Biosciences, Tokushima University Graduate School

抄録

Adenosquamous carcinoma is an uncommon malignant tumor, and histopathologically shows components of adenocarcinoma and squamous cell carcinoma. We report a case of adenosquamous carcinoma in the maxillary sinus associated with an abnormally high level of serum carcinoembryonic antigen (CEA). A 78-yearsold man visited our clinic because of swelling of the left side of the buccal and palatal regions. At presentation, there was a diffuse extraoral swelling extending from the ala of the nose to the infraorbital region, and intraoral swelling and induration in the gingivo-buccal sulcus. A computed tomographic (CT) scan revealed a solid mass in the maxillary sinus, with destruction of the front wall of the maxillary sinus. The serum CEA level was abnormally elevated (50.4ng/ml); however, no distant metastasis was detected. Biopsy was performed under the clinical diagnosis of a malignant tumor of the maxilla. Histopathological examination suggested an adenosquamous carcinoma. Suprahyoid neck dissection (Left-side), ligation of external carotid artery, and subtotal maxillectomy were performed with the patient under general anesthesia. The final histopathological diagnosis was adenosquamous carcinoma. One month after the operation, CEA gradually decreased to 8.9ng/ml. One year after the operation, CEA level was 7.6ng/ml, with no apparent evidence of recurrence.

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 52(10), 537-541, 2006-10-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018859185
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8550987
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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