舌基底低分化神经内分泌癌1例。

Feng Liu, Jiang Chang, Lifang Lu, Fei Han, Jie Nan, Baoyan Zhu
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引用次数: 0

摘要

神经内分泌癌(NEC)是一种来源于神经内分泌细胞的恶性肿瘤,具有明显的临床、形态学和免疫组织化学特征。头颈部神经内分泌癌在临床上非常罕见。喉是最常见的患处,舌根也极为罕见。临床表现主要为进食疼痛,口腔内有花椰菜样肿块,溃疡性病变长期不愈。颌面MRI与对比增强CT是此类疾病最常用的检查工具,它可以检测空间肿瘤的占位性病变。病理光镜下发现细胞质内有神经内分泌颗粒,可诊断为神经内分泌癌。然而,对于大多数病例,仅在光学显微镜下进行诊断是困难的,通常需要通过免疫组织化学等技术手段进行诊断。本文报告一例舌根神经内分泌癌,介绍其特点、诊断和治疗,并复习相关文献。
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[Poorly differentiated neuroendocrine carcinoma of the tongue base: a case report].

Neuroendocrine carcinoma(NEC) is a malignant tumor derived from neuroendocrine cells, with distinct clinical, morphological and immunohistochemical characteristics. Neuroendocrine carcinoma of the head and neck is very rare in clinic. Larynx is the most common affected site, and the root of the tongue is extremely rare. The clinical manifestations are mainly eating pain, cauliflower like mass in the mouth, and ulcerative lesions that have not healed for a long time. Maxillofacial MRI and contrastenhanced CT are the most commonly used examination tools for such diseases, which can detect the spaceoccupying lesions of tumors. Neuroendocrine granules found in the cytoplasm under pathological light microscope can be diagnosed as neuroendocrine carcinoma. However, for most cases, it is difficult to make a diagnosis only under light microscope, and it is often necessary to make a diagnosis by means of immunohistochemistry and other technical means. This paper reports a case of neuroendocrine carcinoma of the root of the tongue, introduces its characteristics, diagnosis and treatment, and reviews the relevant literature of this case.

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