A case of mucinous adenocarcinoma of the palate

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  • MANO Takamitsu
    Department of Oral and Maxillofacial Surgery, Yamaguchi University School of Medicine
  • UCHIDA Kenichiro
    Department of Oral and Maxillofacial Surgery, Yamaguchi University School of Medicine
  • OKAFUJI Masaki
    Department of Oral and Maxillofacial Surgery, Yamaguchi University School of Medicine
  • HORINAGA Daiju
    Department of Oral and Maxillofacial Surgery, Yamaguchi University School of Medicine
  • NAGATSUKA Hitoshi
    Department of Oral Pathology and Medicine, Okayama University Graduate School of Medicine and Dentistry
  • UEYAMA Yoshiya
    Department of Oral and Maxillofacial Surgery, Yamaguchi University School of Medicine

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Other Title
  • 口蓋部に発生した粘液腺癌の１例
  • ショウレイ ホウコク コウガイブ ニ ハッセイ シタ ネンエキセンガン ノ 1レイ

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Abstract

Mucinous adenocarcinoma (MAC) arising in the oral cavity is extremely rare. We report a case of MAC originating in the palate.<BR>A 70-year-old man presented with an ulcer of the palate visited our hospital. A demarcated tumor arising in the right side of the palate with cervical lymph swelling on the same side were recognized. Histopathological examination revealed a MAC. Partial maxillectomy and radical neck dissection were immediately performed. After surgery, neck metastasis was detected on the contralateral side. Radical neck dissection was therefore performed. After that, recurrence in the right side of the neck and lung metastasis was detected. Bilateral radiotherapy was given to treat recurrence in the neck, and chemotherapy was administered to treat the lung metastasis. The patient died of respiratory insufficiency 2 years 5 months after the first examination.

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