硬口蓋原発の悪性筋上皮腫例

  • 井内 寛之
    鹿児島大学大学院医歯学総合研究科 先進治療科学専攻感覚器病学 聴覚頭頸部疾患学
  • 黒野 祐一
    鹿児島大学大学院医歯学総合研究科 先進治療科学専攻感覚器病学 聴覚頭頸部疾患学

書誌事項

タイトル別名
  • A Case of Malignant Myoepithelioma of the Hard Palate
  • コウコウガイ ゲンパツ ノ アクセイキン ジョウヒ シュレイ

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Malignant myoepithelioma is a rare tumor that occurs in about 0.2% of the salivary gland tumors. We report herein on a case of malignant myoepithelioma which presented in the hard palate.<br>The patient was a 54-year-old woman, who visited our outpatient clinic with a complaining of nasal obstruction. Rhinology showed an elevation of the nasal cavity floor, and a 15 mm mass lesion was observed in hard palate.<br>The presence of tumor was confirmed by CT imaging on which a large solid mass occupying part of right maxillary sinus, hard palate, and nasal cavity were observed. There were no palpable neck lymph nodes. The pathological diagnosis of a biopsy taken from the nasal cavity floor was malignant myoepithelioma. Immunohistochemical studies showed positive staining for keratin and p63, and partial positivity for S-100 and GFAP.<br>The patient underwent subtotal maxillectomy of the right maxilla and partial maxillectomy of the left maxilla.<br>In a 2-year follow up after the surgery, there has been no evidence of recurrence.

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