基底样鳞状细胞癌-罕见的异典型肿瘤1例报告

K. Tiwari, V. Misra, Varsha Gupta, Karishma Dhingra, Sarika Gupta
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引用次数: 0

摘要

基底样鳞状细胞癌是一种罕见的鳞状细胞癌,发生于人生的六、七十岁,男性多见。它优先发生在上呼吸道消化道。罕见的病例报告提出了经典年龄组预后差。一位46岁的老年男性患者以左侧舌基底部生长和声门上生长为主诉到耳鼻喉科就诊。在多层螺旋CT放射学评估中,在舌底发现了一个大小约为25×38 mm的非均匀增强肿块。病变的细胞学检查显示,高度细胞化的涂片显示细胞的恶性形态。组织学评估显示肿瘤肿块中肿瘤细胞由两种不同的细胞类型组成-大多数细胞群由基底样细胞组成,并突然伴有鳞状细胞灶,提示鳞状细胞癌的基底样变异型。我们提出这个病例是为了确认,因为它的罕见发生,较低的年龄表现,预后价值差,以及高转移潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
BASALOID SQUAMOUS CELL CARCINOMA- A RARE METATYPICAL TUMOR- CASE REPORT
A rare kind of squamous cell cancer is called basaloid squamous cell carcinoma occurring in sixth to seventh decade of life with male predilection. It preferentially occurring in upper aerodigestive tract. Rare case reports are presented in the classical age group with a poor prognosis. A 46 year's senior old male patient showed up to otorhinolaryngology department with chief complain of growth on base on left side of tongue and supra-glottic growth. On radiological evaluation by Multislice CT Scanning, a heterogeneously enhancing mass lesion measuring approximately 25×38 mm was noted at the base of tongue. On cytological evaluation of the lesion, highly cellular smear showed malignant morphology of the cells. Histological evaluation reveals a tumour mass in which neoplastic cells were composed of two different cell types – the majority of the cells population consisted of basaloid cells with abrupt association of foci of squamous cells suggesting basaloid variant of Squamous cell carcinoma. We brought this case for acknowledgment due to its rare occurrence, lower age of presentation, poor prognostic value as well as high metastatic potential.
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