口腔癌に対する頸部郭清術標本中に発見された甲状腺乳頭癌転移の3例 Three cases of metastases from papillary thyroid carcinoma detected in specimens obtained by neck dissection for oral cancer

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著者

    • 北川 泰司 KITAGAWA Yasushi
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 中澤 光博 NAKAZAWA Mitsuhiro
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 金崎 朋彦 [他] KANESAKI Tomohiko
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 雨河 茂樹 AMEKAWA Shigeki
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 清水 英孝 SHIMIZU Hidetaka
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 大林 茂樹 OHBAYASHI Shigeki
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry
    • 玉木 康博 TAMAKI Yasuhiro
    • 大阪大学大学院医学系研究科機能制御外科学講座(腫瘍外科) Department of Surgical Oncology, Osaka University Graduate School of Medicine
    • 由良 義明 YURA Yoshiaki
    • 大阪大学大学院歯学研究科顎口腔病因病態制御学講座(口腔外科学第二教室) Second Department of Oral and Maxillofacial Surgery, Osaka University Graduate School of Dentistry

抄録

Incidental detection of cervical lymph node metastasis from thyroid carcinoma during neck dissection for oral cancer is uncommon clinically. There is no consensus regarding the treatment of primary thyroid lesions associated with metastasis.<BR>Cervical lymph node metastasis from papillary thyroid carcinoma (PTC) was detected incidentally in 3 of 325 patients who underwent radical neck dissection for metastasis of oral squamous cell carcinoma (SCC) between 1978 and 2002. The patients were one man and two women 44 to 56 years of age. All three patients had SCC of the tongue. Physical examination and radiologic evaluation showed no intrathyriodal lesions. PTC had metastasized to the cervical lymph nodes at levels II to IV. The patients did not receive additional treatment for their thyroid lesions and were followed-up by computed tomographic and echographic examinations. PTC did not show any growth or metastasis during the follow-up period (2 years 11 months - 8 years 7 months), although one of the patients died of recurrence of SCC 2 years later.<BR>PTC is usually indolent and associated with low mortality. We suggest that incidental PTC should be followed by imaging studies when the thyroid gland shows no clinical or radiologic evidence of lesions.

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 51(5), 226-232, 2005-05-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018955153
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • NDL 記事登録ID
    7370716
  • 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  CJP引用  NDL  J-STAGE 
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