Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
권호 표지

Treatment of Salivary Duct Carcinoma: A Case Report

타액선관 상피암의 치험례

  • Moon, Suk Ho (Department of Plastic Surgery, The Catholic University of Korea College of Medicine) ;
  • Yoo, Gyeol (Department of Plastic Surgery, The Catholic University of Korea College of Medicine) ;
  • Choi, Yun Seok (Department of Plastic Surgery, The Catholic University of Korea College of Medicine) ;
  • Lim, Jin Soo (Department of Plastic Surgery, The Catholic University of Korea College of Medicine) ;
  • Han, Ki Taik (Department of Plastic Surgery, The Catholic University of Korea College of Medicine)
  • 문석호 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 유결 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 최윤석 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 임진수 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 한기택 (가톨릭대학교 의과대학 성형외과학교실)
  • Published : 2008.04.09

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Abstract

Salivary duct carcinoma is a high-grade adenocarcinoma arising from the ductal epithelium and has very low prevalence. We report a case of salivary duct carcinoma in high risk group with satisfactory result. A 65-year-old male was referred to our clinic complaining of mass on Rt. cheek. Preoperative CT and MRI shows $2.0{\times}1.9cm$ sized multilobulated, cystic mass on the superficial lobe of Rt. parotid gland and multiple lymph node enlargement thorough the Rt. internal jugular chain. Total parotidectomy and modified radical neck dissection with adjuvant radiation therapy was performed. Pathologic result was salivary duct carcinoma and resection margin was free. Postoperative radiation therapy with 6400 cGy($200cGy{\times}12fx$) was performed. During the 24-months of follow up periods, recurrence or complications associated with operation and radiation therapy was not observed. Salivary duct carcinoma is rare disease with very poor prognosis. Lymph node metastasis is commonly accompanied at the time of diagnosis. Distant metastasis is the most common cause of death. Total parotidectomy, radical neck disssection and adjuvant radiation therapy can be the appropriate modality for the control of the salivary duct carcinoma especially in high risk group.

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