多発性肺転移を伴った巨大な下顎エナメル上皮癌の1例
We describe a large ameloblastic carcinoma of the mandible with multiple pulmonary metastases. The patient was a 62-year-old woman. In March 1994, she underwent enucleation of a tumor in the anterior part of the mandible at another hospital. The histopathological diagnosis was a typical ameloblastom...
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| Published in | 日本口腔外科学会雑誌 Vol. 58; no. 3; pp. 137 - 141 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.03.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.58.137 |
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| Abstract | We describe a large ameloblastic carcinoma of the mandible with multiple pulmonary metastases. The patient was a 62-year-old woman. In March 1994, she underwent enucleation of a tumor in the anterior part of the mandible at another hospital. The histopathological diagnosis was a typical ameloblastoma. She was lost to followup soon after the operation. In March 2008, she was referred to Hokkaido University Hospital. She had a large hemorrhagic tumor, which projected outside of the mouth. Chest radiography revealed many nodular opacities in both lung fields. In May 2008, we performed a segmental mandibulectomy to improve her quality of life. The histological diagnosis was an ameloblastic carcinoma-secondary type, intraosseous. There has been no sign of tumor recurrence for 2 years postoperatively. |
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| AbstractList | We describe a large ameloblastic carcinoma of the mandible with multiple pulmonary metastases. The patient was a 62-year-old woman. In March 1994, she underwent enucleation of a tumor in the anterior part of the mandible at another hospital. The histopathological diagnosis was a typical ameloblastoma. She was lost to followup soon after the operation. In March 2008, she was referred to Hokkaido University Hospital. She had a large hemorrhagic tumor, which projected outside of the mouth. Chest radiography revealed many nodular opacities in both lung fields. In May 2008, we performed a segmental mandibulectomy to improve her quality of life. The histological diagnosis was an ameloblastic carcinoma-secondary type, intraosseous. There has been no sign of tumor recurrence for 2 years postoperatively. |
| Author | 佐藤（栗林）, 和代 大廣, 洋一 進藤, 正信 戸塚, 靖則 足利, 雄一 小野, 貢伸 |
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| References | 9) Akrish, S., Buchner, A., et al.: Ameloblastic carcinoma: Report of a new case, Literature review, and comparisons to ameloblastoma. J Oral Maxillofac Surg 65: 777-783 2007. 12) Collins, V.P.: Time of occurrence of pulmonary metastasis from carcinoma of colon and rectum. Cancer 15: 387-395 1962. 7) Abiko, Y., Nagayasu, H., et al.: Ameloblastic carcinoma ex ameloblastoma: report of a case-possible involvement of CpG island hypermethylation of the p16 gene in malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 72-76 2007. 2) Karakida, K., Aoki, T., et al.: Ameloblastic carcinoma, secondary type: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110: 33-37 2010. 10) 多田圭希, 村上重人, 他：原発病巣切除13年後に多発性肺転移を認めた悪性エナメル上皮腫 （malignantameloblastoma） の1例. 日内科誌 87:1376-1378 1998. 15) 西松成器, 梅田正博, 他：頭頸部腺様囊胞癌肺転移巣の倍加時間 （ダブリングタイム） と転移成立時期に関する臨床的研究. 日口外誌 45: 317-323 1999. 11) Kunze, E., Donath, K., et al.: Biology of metastasizing ameloblastoma. Path Res Pract 180: 526-535 1985. 4) 森田章介, 有家 巧：悪性エナメル上皮腫. 歯科ジャーナル 37: 629-633 1993. 8) Benlyazid, A., Lacroix-Triki, M., et al.: Ameloblastic carcinoma of the maxilla: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104 : e17-e24 2007. 1) James, J.S., Lewis, R.E., et al.: odontogenic/ameloblastic carcinomas. Leon, B., John, W.E., et al.; WHO Classification of tumors. Pathology and Genetics of Head and Neck Tumors. IARC Press, Lyon, 2005, p287-289. 6) Hye-Jung,Y., Sam-Pyo, H., et al.: Ameloblastic carcinoma: an analysis of 6 cases with review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108: 904-913 2009. 5) 柴原孝彦, 森田章介, 他： 2005年新WHO国際分類による歯原性腫瘍の発生状況に関する疫学的研究. 口腔腫瘍 20: 245-254 2008 13) 草間 悟：癌の時間学. 草間 悟 編；臨床腫瘍学. 第1版, 南江堂, 東京, 1982, 129-156頁 14) 小松原秀紀, 梅田正博, 他：口腔扁平上皮癌の遠隔転移巣の倍加時間と転移成立時期に関する検討. 口腔腫瘍 17: 232-238 2005. 3) 北所弘行, 永易裕樹, 他：下顎骨に発生した二次型エナメル上皮癌の1例. 日口外誌 53: 553-557 2007. |
| References_xml | – reference: 9) Akrish, S., Buchner, A., et al.: Ameloblastic carcinoma: Report of a new case, Literature review, and comparisons to ameloblastoma. J Oral Maxillofac Surg 65: 777-783 2007. – reference: 15) 西松成器, 梅田正博, 他：頭頸部腺様囊胞癌肺転移巣の倍加時間 （ダブリングタイム） と転移成立時期に関する臨床的研究. 日口外誌 45: 317-323 1999. – reference: 12) Collins, V.P.: Time of occurrence of pulmonary metastasis from carcinoma of colon and rectum. Cancer 15: 387-395 1962. – reference: 2) Karakida, K., Aoki, T., et al.: Ameloblastic carcinoma, secondary type: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 110: 33-37 2010. – reference: 7) Abiko, Y., Nagayasu, H., et al.: Ameloblastic carcinoma ex ameloblastoma: report of a case-possible involvement of CpG island hypermethylation of the p16 gene in malignant transformation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 72-76 2007. – reference: 11) Kunze, E., Donath, K., et al.: Biology of metastasizing ameloblastoma. Path Res Pract 180: 526-535 1985. – reference: 8) Benlyazid, A., Lacroix-Triki, M., et al.: Ameloblastic carcinoma of the maxilla: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104 : e17-e24 2007. – reference: 14) 小松原秀紀, 梅田正博, 他：口腔扁平上皮癌の遠隔転移巣の倍加時間と転移成立時期に関する検討. 口腔腫瘍 17: 232-238 2005. – reference: 13) 草間 悟：癌の時間学. 草間 悟 編；臨床腫瘍学. 第1版, 南江堂, 東京, 1982, 129-156頁 – reference: 3) 北所弘行, 永易裕樹, 他：下顎骨に発生した二次型エナメル上皮癌の1例. 日口外誌 53: 553-557 2007. – reference: 10) 多田圭希, 村上重人, 他：原発病巣切除13年後に多発性肺転移を認めた悪性エナメル上皮腫 （malignantameloblastoma） の1例. 日内科誌 87:1376-1378 1998. – reference: 6) Hye-Jung,Y., Sam-Pyo, H., et al.: Ameloblastic carcinoma: an analysis of 6 cases with review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 108: 904-913 2009. – reference: 5) 柴原孝彦, 森田章介, 他： 2005年新WHO国際分類による歯原性腫瘍の発生状況に関する疫学的研究. 口腔腫瘍 20: 245-254 2008 – reference: 1) James, J.S., Lewis, R.E., et al.: odontogenic/ameloblastic carcinomas. Leon, B., John, W.E., et al.; WHO Classification of tumors. Pathology and Genetics of Head and Neck Tumors. IARC Press, Lyon, 2005, p287-289. – reference: 4) 森田章介, 有家 巧：悪性エナメル上皮腫. 歯科ジャーナル 37: 629-633 1993. |
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| SubjectTerms | エナメル上皮癌 二次型 多発性肺転移 |
| Title | 多発性肺転移を伴った巨大な下顎エナメル上皮癌の1例 |
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