基于 PET-CT 的耳廓鳞状细胞癌切除指南:软组织肿瘤的创新临床治疗:病例报告

Mohamed Mekky, Muhammad A. Nawwar, Ayman Sameh Nabawi, Mahmoud Yehya Abdul Aziz, Ahmed Galal, Heba Sleem
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摘要

介绍基于 PET-CT 的切除指南在耳鳞状细胞癌治疗中的成功应用。一名 69 岁的男性左耳螺旋部出现一个无痛性生长肿块,曾由另一名外科医生进行保守治疗,但未获成功。切口活检结果显示为中度分化的鳞状细胞癌,患者被转到该科接受进一步治疗。进行了 PET/CT 检查,结果显示耳部摄取了 FDG,SUV 最大值为 T3N0M0。治疗方案是在多学科团队讨论和全面评估 PET/CT 成像结果的基础上制定的。最终决定采用基于 PET/CT 的耳部切除术指南,在较大的安全范围内切除肿块。此外,还计划进行部分颞骨切除术、选择性颈部切除术和浅表腮腺切除术。患者选择了头皮旋转皮瓣重建。患者的治疗方案很成功,在随访中,他仍然没有患病。本病例报告强调了使用基于 PET-CT 的切除指南治疗软组织肿瘤(尤其是耳廓鳞状细胞癌)的重要性。它还证明了多学科团队方法和全面评估成像结果对确定有效治疗方案的重要性。基于 PET-CT 的切除指南是治疗耳廓鳞状细胞癌的有效工具。它可以提供有关肿瘤范围的更精确、更准确的信息,从而制定出更有效的治疗方案。多学科团队方法和对成像结果的全面评估对于确定患者的最佳治疗方案至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PET-CT-based resection guide for treatment of auricular squamous cell carcinoma: an innovative clinical management of soft tissue tumors: a case report
To describe the successful use of a PET-CT-based resection guide for the treatment of auricular squamous cell carcinoma. A 69-year-old male presented with a painless growing mass in his left ear helix that had been unsuccessfully treated conservatively by another surgeon. An incisional biopsy revealed moderately differentiated squamous cell carcinoma, and the patient was referred to the department for further management. A PET/CT was performed, which showed uptake of FDG in the ear with a SUV max value and T3N0M0 status. The treatment plan was based on a multidisciplinary team discussion and a thorough evaluation of the PET/CT imaging findings. A decision was made to proceed with excision of the mass with a wide safety margin, using a PET/CT-based resection guide for ear resection. Additionally, partial temporal bone resection, selective neck dissection, and superficial parotidectomy were planned. The patient opted for reconstruction with a scalp rotational flap. The patient’s treatment plan was successful, and at follow-up visits, he remained disease-free. This case report highlights the importance of using a PET-CT-based resection guide for the treatment of soft tissue tumors, specifically auricular squamous cell carcinoma. It also demonstrates the importance of a multidisciplinary team approach and thorough evaluation of imaging findings in determining an effective treatment plan for patients. The use of PET-CT-based resection guide can be an effective tool in the treatment of auricular squamous cell carcinoma. It can provide more precise and accurate information about the extent of the tumor, leading to a more effective treatment plan. Multidisciplinary team approach and thorough evaluation of imaging findings are crucial in determining the best course of treatment for patients.
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