头颈部皮脂腺癌的诊断与治疗探讨论文.docVIP

　　头颈部皮脂腺癌的诊断与治疗探讨论文 黄健男，占顺堂，邹苑斌，张学辉，赵晓明，彭树文，郑明奋 【关键词】 皮脂腺癌；头颈部；病理学 ［摘要］ 目的 探讨头部皮脂腺癌的诊断与治疗，进一步提高诊治率。方法 收集28例经病理证实的头颈部皮脂腺癌患者的临床资料.freelent of sebaceous carcinoma in the Head and Neck (Report of 28 Cases) ［Abstract］ Objective To study the diagnosis and treatment of sebaceous carcinoma in Head and Neck. Methods Collecting 28 cases a in Head and Neck eatus in 5 cases, maxillofacial in 7 cases, neck portion in 4 cases, neck lymph node metastasis in 3 cases. They istry therapy.Results Diagnosis of sebaceous carcinoma demanded immunohistochemistry (IHC), and rare parotid sebaceous carcinoma a, grume epidermis carcinoma and acinic cell carcinoma in pathology. By Folloary focus recurrence in 10 cases, in ph node metastasis ed operation once again. Four cases lost munication (count for death); 2cases died of distant metastasis; 2cases died of other diseases.Conclusion The sebaceous carcinoma mostly occurred in Head and neck, especially in eyelid, rare in parotid, ostly presented in primary focus,and neck lymph node metastasis is much less. The cause of death mainly is distant metastasis. It is key point that forepart diagnosis and treatment can promote survival rate for 5 years. ［Key a;head and neck;pathology INTRODUCTION Sebaceous carcinoma is a rare malignant tumor, ore in eyelid than other portion, and more in old age man. From 1985 to 2001, 28 of patients a on Materials Tent including 20 males and 8 females; age ranged: ＞50 years old in 22 cases,＜50 years old in 6cases;ill-period:at ＞4 years in 16 cases, 2 years in 6 cases,1～3 months in 6 cases. one of all a in Head and Neck, eatus in 5 cases, maxillofacial in 7 cases, neck portion in 4 cases, neck lymph node metastasis in 3 cases. 1.2 Diagnosis and treatment methods All of these 30 cases a through paraffin section and EMA, S-100, CK/H, ACTIN of IHC staining examination. All of these patients, primary focus of tumors ph node dissection in 3 cases, preventing neck lymph node dissection in 7 cases. Tg, cisplatin 2