上顎歯肉に生じた未分化癌の頸部リンパ節転移巣に悪性黒色腫が混在していた1例
The histopathology of metastatic lesions are usually the same as primary lesions in malignant tumors. We report a rare case of malignant melanoma that was mixed with a cervical lymph node metastatic lesion of undifferentiated cancer occurring in the maxillary gingiva. The patient was referred to our...
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| Published in | 日本口腔外科学会雑誌 Vol. 67; no. 4; pp. 228 - 232 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.04.2021
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.67.228 |
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| Abstract | The histopathology of metastatic lesions are usually the same as primary lesions in malignant tumors. We report a rare case of malignant melanoma that was mixed with a cervical lymph node metastatic lesion of undifferentiated cancer occurring in the maxillary gingiva. The patient was referred to our department because of pain in the area of the maxillary anterior teeth. After confirmation of undifferentiated cancer by biopsy, a right partial maxillectomy and extended supraomohyoid neck dissection were performed. Histopathological examination revealed that the primary lesion was undifferentiated cancer and the metastatic lesion was malignant melanoma. We suggested the possibility that a malignant melanoma of unknown primary origin and the undifferentiated cancer in the maxillary gingiva metastasized to the same cervical lymph node as a collision tumor. |
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| AbstractList | The histopathology of metastatic lesions are usually the same as primary lesions in malignant tumors. We report a rare case of malignant melanoma that was mixed with a cervical lymph node metastatic lesion of undifferentiated cancer occurring in the maxillary gingiva. The patient was referred to our department because of pain in the area of the maxillary anterior teeth. After confirmation of undifferentiated cancer by biopsy, a right partial maxillectomy and extended supraomohyoid neck dissection were performed. Histopathological examination revealed that the primary lesion was undifferentiated cancer and the metastatic lesion was malignant melanoma. We suggested the possibility that a malignant melanoma of unknown primary origin and the undifferentiated cancer in the maxillary gingiva metastasized to the same cervical lymph node as a collision tumor. |
| Author | 三谷, 泉 長谷川, 巧実 天野, 利香 齋藤, 泉 岸本, 恵実 明石, 昌也 |
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| References | 7) McGovern VJ : Spontaneous regression of melanoma. Pathology 7: 91-99, 1975. 4) Lee CC, Faries MB, et al : Improved survival after lymphadenectomy for nodal metastasis from an unknown primary melanoma．J Clin Oncol 26: 535-541, 2008 12) Tokunaga M, Ohyama S, et al : Simultaneous adenocarcinoma and leiomyoma of the stomach presenting as a collision tumor. Clin J Gastroenterol 2: 394-397, 2009. 8) Nathanson L : Spontaneous regression of malignant melanoma. Natl Cancer Inst 44: 67, 1976. 10) 斎田俊明， 土屋真一：原発巣が自然消退した悪性黒色腫の1例．臨皮 37: 363-368, 1983. 13) 相良亜希子， 永吉絹子， 他：S状結腸癌と乳癌の卵巣転移性衝突癌の1例．日臨外会誌 78: 2551-2557, 2017. 17) Spagnolo DV, Heenan PJ, et al : Collision carcinoma at the esophagogastric junction. Cancer 46: 2702-2708, 1980. 2) 滝田正亮， 阿久根正之， 他：転移リンパ節において“adenosquamous”の性格を帯びた口腔扁平上皮癌の1症例．日口外誌 32: 244-248, 1986. 1) 風岡宜暁， 久野 一， 他：舌扁平上皮癌の転移リンパ節にみられた腺扁平上皮癌の1 例．日口診誌 12: 662-666, 1999. 15) Bhavsar T, Liu J, et al : Collision metastasis of urothelial and prostate carcinomas to the same lymph node: a case report and review of the literature. J Med Case Rep 6: 124, 2012. 11) 尾崎邦博， 西村 寛，他：肺扁平上皮癌 術後に認めた衝突癌の1例．日呼外会誌 29: 689-693, 2015. 6) Prens SP, van der Ploeg AP, et al : Outcome after therapeutic lymph node dissection in patients with unknown primary melanoma site. Ann Surg Oncol 18: 3586-3592, 2011. 14) Miyauchi J, Asahara F, et al : Collision lymph node metastasis of rectal and prostate adenocarcinomas. Pathol. int 63: 425-427, 2013. 3) 陶山一隆， 松尾長光， 他：転移巣において腺扁平上皮癌の性格を有した口底扁平上皮癌の1例．日口外誌 45: 688-690, 1999. 5) 中村有希， 井口広義， 他：当科における原発不明頸部転移癌．日耳鼻 106: 671-677, 2003. 16) Lim Y, Kim W, et al : Collision metastasis of squamous carcinoma of the oral tongue and incidental thyroid papillary carcinoma to a single cervical lymph node. Int J Oral Maxillofac Surg 37: 494-496, 2008. 9) 森章一郎， 横田憲二， 他：自然消退を認めた悪性黒色腫．皮病診療 38: 515-518, 2016. |
| References_xml | – reference: 2) 滝田正亮， 阿久根正之， 他：転移リンパ節において“adenosquamous”の性格を帯びた口腔扁平上皮癌の1症例．日口外誌 32: 244-248, 1986. – reference: 11) 尾崎邦博， 西村 寛，他：肺扁平上皮癌 術後に認めた衝突癌の1例．日呼外会誌 29: 689-693, 2015. – reference: 13) 相良亜希子， 永吉絹子， 他：S状結腸癌と乳癌の卵巣転移性衝突癌の1例．日臨外会誌 78: 2551-2557, 2017. – reference: 4) Lee CC, Faries MB, et al : Improved survival after lymphadenectomy for nodal metastasis from an unknown primary melanoma．J Clin Oncol 26: 535-541, 2008 – reference: 1) 風岡宜暁， 久野 一， 他：舌扁平上皮癌の転移リンパ節にみられた腺扁平上皮癌の1 例．日口診誌 12: 662-666, 1999. – reference: 8) Nathanson L : Spontaneous regression of malignant melanoma. Natl Cancer Inst 44: 67, 1976. – reference: 9) 森章一郎， 横田憲二， 他：自然消退を認めた悪性黒色腫．皮病診療 38: 515-518, 2016. – reference: 3) 陶山一隆， 松尾長光， 他：転移巣において腺扁平上皮癌の性格を有した口底扁平上皮癌の1例．日口外誌 45: 688-690, 1999. – reference: 14) Miyauchi J, Asahara F, et al : Collision lymph node metastasis of rectal and prostate adenocarcinomas. Pathol. int 63: 425-427, 2013. – reference: 17) Spagnolo DV, Heenan PJ, et al : Collision carcinoma at the esophagogastric junction. Cancer 46: 2702-2708, 1980. – reference: 6) Prens SP, van der Ploeg AP, et al : Outcome after therapeutic lymph node dissection in patients with unknown primary melanoma site. Ann Surg Oncol 18: 3586-3592, 2011. – reference: 7) McGovern VJ : Spontaneous regression of melanoma. Pathology 7: 91-99, 1975. – reference: 12) Tokunaga M, Ohyama S, et al : Simultaneous adenocarcinoma and leiomyoma of the stomach presenting as a collision tumor. Clin J Gastroenterol 2: 394-397, 2009. – reference: 5) 中村有希， 井口広義， 他：当科における原発不明頸部転移癌．日耳鼻 106: 671-677, 2003. – reference: 10) 斎田俊明， 土屋真一：原発巣が自然消退した悪性黒色腫の1例．臨皮 37: 363-368, 1983. – reference: 16) Lim Y, Kim W, et al : Collision metastasis of squamous carcinoma of the oral tongue and incidental thyroid papillary carcinoma to a single cervical lymph node. Int J Oral Maxillofac Surg 37: 494-496, 2008. – reference: 15) Bhavsar T, Liu J, et al : Collision metastasis of urothelial and prostate carcinomas to the same lymph node: a case report and review of the literature. J Med Case Rep 6: 124, 2012. |
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| SubjectTerms | 悪性黒色腫 未分化癌 自然消退 衝突転移 |
| Title | 上顎歯肉に生じた未分化癌の頸部リンパ節転移巣に悪性黒色腫が混在していた1例 |
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