Malignant pleomorphic adenoma of tongue base with bilateral cervical lymph node metastases： case report and literature review

作     者：Rong Tao Yuan Mu Yun Jia Jin Yue Wen Lin Xiao Ling Xue Bu 

作者机构：Dept. of Oral and Maxillofacial Surgery Qingdao UniversityMedical School Hospital Qingdao 266003 China 

出 版 物：《中国口腔颌面外科杂志》 (China Journal of Oral and Maxillofacial Surgery)

年 卷 期：2008年第6卷第B5期

页      面：199-200页

学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：多形性腺瘤 舌 淋巴结 治疗方法 

摘      要：Malignant pleomorphic adenoma (MPA) of tongue base, with bilateral cervical lymph node metastasis, was exceedingly rare。We offered a case of MPA in a 66-year-old man, which may represent the first report of this neoplasm arising in the tongue base with bilateral cervical lymph node metastasis。The clinicopathological features were analyzed and the literatures were reviewed。The main complain of the case was tumor in the right lateral upper neck, no pain。The tumor of tongue base was found by nasopharyngoendoscope examination。Biopsy showed the tumor of tongue base was squamous cell carcinoma。Extensive resection of tongue base tumor and bilateral radical neck dissection were taken。Pathology postoperative showed the original site was MPA with carcinoma embolus in lymph-vessel。Cervical lymph node metastasis was observed in 18 lymph nodes located in levelⅠ,Ⅱ,Ⅲof left and right neck respectively。Surgery was the main treatment method and postoperative radiotherapy was used。Local recurrence, regional lymph node metastases and distant metastases did not occur in one year follow-up。