ベーチェット病患者の舌背部に発生した扁平上皮癌の1例 A case of squamous cell carcinoma arising at the dorsum of the tongue in a patient with Behcet's disease

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著者

    • 田中 香衣 TANAKA Kae
    • 東京医科歯科大学大学院顎口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 小村 健 OMURA Ken
    • 東京医科歯科大学大学院顎口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 原田 浩之 [他] HARADA Hiroyuki
    • 東京医科歯科大学大学院顎口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 生田 稔 IKUTA Minoru
    • 東京医科歯科大学大学院顎口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University
    • 白木 理美 SHIRAKI Rimi
    • 東京医科歯科大学大学院顎口腔外科学分野 Department of Oral and Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University

抄録

Behçet's disease is an autoimmune disorder with various symptoms caused by systemic vasculitis. We report a case of squamous cell carcinoma arising at the dorsum of the tongue in a patient with Behçet's disease.<br>The patient was a 57-year-old woman who had been given a diagnosis of Behçet's disease at a department of internal medicine. She had had recurrent aphthas every 2 or 3 months, which were resolved by steroid ointment. She had been aware of a refractory ulcer at the dorsum of the tongue for 3 months, resulting in loss of mobility of the tongue, and was referred to our department. An ulcer measuring 4.8 × 2.5 cm was found at the site, and the induration covered nearly the entire tongue.<br>Based on a clinical diagnosis of tongue carcinoma T4N0M0, we performed tracheotomy, bilateral neck dissection, total glossectomy, marginal mandibulectomy, and reconstruction using a rectus abdominis flap. The carcinoma was diagnosed as a well-differentiated squamous cell carcinoma. Eight years after surgery, she has had no recurrence or metastasis.

Behçet's disease is an autoimmune disorder with various symptoms caused by systemic vasculitis. We report a case of squamous cell carcinoma arising at the dorsum of the tongue in a patient with Behçet's disease.<br>The patient was a 57-year-old woman who had been given a diagnosis of Behçet's disease at a department of internal medicine. She had had recurrent aphthas every 2 or 3 months, which were resolved by steroid ointment. She had been aware of a refractory ulcer at the dorsum of the tongue for 3 months, resulting in loss of mobility of the tongue, and was referred to our department. An ulcer measuring 4.8 × 2.5 cm was found at the site, and the induration covered nearly the entire tongue.<br>Based on a clinical diagnosis of tongue carcinoma T4N0M0, we performed tracheotomy, bilateral neck dissection, total glossectomy, marginal mandibulectomy, and reconstruction using a rectus abdominis flap. The carcinoma was diagnosed as a well-differentiated squamous cell carcinoma. Eight years after surgery, she has had no 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 57(5), 319-323, 2011-05-20

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10030272158
  • 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
    11132070
  • 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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