치과방사선 (Journal of Korean Academy of Oral and Maxillofacial Radiology)

대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
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다수의 전이병소를 수반한 하악골의 중심성 점액표피양암종

CENTRAL MUCOEPIDERMOID CARCINOMA ARISING IN MANDIBLE WITH MULTIPLE METASTASES

  • 소병천 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 이영호 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 최순철 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 박태원 (서울대학교 치과대학 구강악안면방사선학 교실) ;
  • 유동수 (서울대학교 치과대학 구강악안면방사선학 교실)
  • Soh Byung-Chun (Department of Oral and Maxillifacial Radiology, College of Dentistry, Seoul National University) ;
  • Lee Young-Ho (Department of Oral and Maxillifacial Radiology, College of Dentistry, Seoul National University) ;
  • Choi Soon-Chul (Department of Oral and Maxillifacial Radiology, College of Dentistry, Seoul National University) ;
  • Park Tae-Won (Department of Oral and Maxillifacial Radiology, College of Dentistry, Seoul National University) ;
  • You Dong-Soo (Department of Oral and Maxillifacial Radiology, College of Dentistry, Seoul National University)
  • 발행 : 1997.02.01
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초록

The authors diagnosed a 54-year-old male as central mucoepidennoid carcinoma after undergoing clinical, radiological and histopathological examinations. The characteristics were as followed : 1. Clinically, the patient complained of the painless unilateral swelling of the left mandibular molar region and had a pus discharge through the fistula. Painful nodule was palpated on the scalp of the left frontal area and it was regarded as a metastatic lesion. 2. Plain radiographs showed the ill-defined permeative radiolucent lesion. The osteolytic lesions were also detected in the cranial bone, number 9 and 11 ribs, scapula, and vertebral bodies. 3. The mandibular CT and PNS MRI showed the swelling of the left mandible and the enlargement of the several lymph nodes of 1.5 cm in size. 4. Histopathologically, many solid epidermoid type cells were mixed with mucus-secreting cells and they were arranged in duct-like structure. Most of them were epidermoid type, which indicates a high grade tumor. Mucins could be found in mucicamrine staining.

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