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鼻腔鼻窦畸胎癌肉瘤4例并文献复习 被引量:4
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作者 慈红非 武世伍 +3 位作者 柴大敏 马莉 秦燕子 陶仪声 《中国组织化学与细胞化学杂志》 CAS CSCD 2017年第5期502-505,509,共5页
目的通过临床资料研究鼻腔鼻窦畸胎癌肉瘤(Sinonasal teratocarcinosarcoma,SNTCS)的临床病理特征、病理诊断、鉴别诊断、治疗及预后。方法采用ElivisionTM plus法免疫组织化学对4例SNTCS进行多种标记物染色和分析,并复习相关的文献。... 目的通过临床资料研究鼻腔鼻窦畸胎癌肉瘤(Sinonasal teratocarcinosarcoma,SNTCS)的临床病理特征、病理诊断、鉴别诊断、治疗及预后。方法采用ElivisionTM plus法免疫组织化学对4例SNTCS进行多种标记物染色和分析,并复习相关的文献。结果确诊的4例该病患者中,有3例为男性患者,仅1例为女性患者,1例发生远处转移,1例转院后失访,2例术后暂未复发。显微镜下可见肿瘤组织内的成分比较复杂,可见不同分化程度来源的组织,并且混有畸胎瘤及癌肉瘤成分,局部肿瘤间质中还可见到未分化/原始的肿瘤细胞。3例患者的上皮均呈EMA及CK阳性,其中1例的神经组织成分NSE、S-100、CD99和Cg A均为阳性,另外2例NSE阴性;3例患者未分化梭形细胞肉瘤成分呈Vimentin阳性,而SMA阴性。结论 SNTCS是一种非常罕见的、组织成分相当复杂的恶性肿瘤,因其复杂的病理形态而易被误诊,病理学特征及免疫组化标记有助于该病的诊断及鉴别诊断。 展开更多
关键词 鼻腔鼻窦畸胎癌肉瘤 病例报道 文献复习
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Intensity-modulated Radiotherapy for Sinonasal Teratocarcinosarcoma
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作者 彭纲 柯杨 +3 位作者 王涛 冯一鸣 李跃华 伍钢 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2011年第6期857-860,共4页
Surgical excision and postoperative radiotherapy are widely accepted therapeutic modalities for sinonasal teratocarcinosarcoma (SNTCS). Previous studies have shown that intensity-modulated radiation therapy (IMRT)... Surgical excision and postoperative radiotherapy are widely accepted therapeutic modalities for sinonasal teratocarcinosarcoma (SNTCS). Previous studies have shown that intensity-modulated radiation therapy (IMRT) is safe and effective for the treatment of some sinonasal malignancies. We hypothesize that use of IMRT for SNTCS may result in clinical benefits. We report here two cases of SNTCS that were treated by IMRT. One patient was given extensive IMRT involving elective neck irradiation. Follow-up examinations revealed no recurrence and metastasis 3.5 years after IMRT. Another patient simultaneously suffered from multiple systematical diseases and was administered involved-field radiotherapy. He was found to have a marginal recurrence during the follow up and eventually died 8 months after disease diagnosis. It was suggested in this study that appropriate use of IMRT for the treatment of SNTCS may achieve excellent local control. 展开更多
关键词 sinonasal teratocarcinosarcoma RADIOTHERAPY head and neck cancer intensity-modulated radiation therapy paranasal sinus
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