Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

A Case of Adenocarcinoma Ex Pleomorphic Adenoma with Tumor Thrombus of Submandibular Gland

악하선에 발생한 종양 혈전을 동반한 다형선종유래 선암종

  • Kwon, Chul (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Park, Choel-Eon (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Shin, Il-Ho (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University) ;
  • Eun, Young-Gyu (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Sungkyunkwan University, Masan Samsung Hospital) ;
  • Kwon, Kee-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyung Hee University)
  • 권철 (경희대학교 의과대학 이비인후과학교실) ;
  • 박철언 (경희대학교 의과대학 이비인후과학교실) ;
  • 신일호 (경희대학교 의과대학 이비인후과학교실) ;
  • 은영규 (성균관대학교 의과대학 마산삼성병원 이비인후과학교실) ;
  • 권기환 (경희대학교 의과대학 이비인후과학교실)
  • Published : 2010.11.26
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Abstract

Carcinoma ex pleomorphic adenoma is rare, aggressive, poorly understood malignancy that occurs in the salivary glands. The patient was 70-year-old male presenting ovoid elevated submandibular mass that has been present for 30 years and rapid growing for 6 months. The initial cytologic finding by fine needle aspiration biopsy showed highly malignant cells and the radiologic finding revealed a $3.6{\times}3.7{\times}4.8cm$ sized mass with cervical lymphadenopathy. After wide excision of submandibular gland and modified radical neck dissection, the histologic examination revealed that tumor was composed partly of a benign pleomorphic adenoma and partly of an adenocarcinoma component with areas of calcification and frequent angiolymphatic invasion. We present a rare case of adenocarcinoma ex pleomorphic adenoma with tumor thrombus in the submandibular gland.

Keywords

References

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