V-Y Advancement Flapにより再建した上唇部基底細胞腺癌の1例
We report a case of basal cell adenocarcinoma of the upper lip in which reconstruction was performed using a V-Y advancement flap. The patient was a 59-year-old man who presented with a left upper lip mass that was 15 mm in diameter, elastic hard, and mobile. The patient reported no pain on palpatio...
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| Published in | 日本口腔外科学会雑誌 Vol. 64; no. 11; pp. 655 - 660 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.11.2018
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.64.655 |
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| Abstract | We report a case of basal cell adenocarcinoma of the upper lip in which reconstruction was performed using a V-Y advancement flap. The patient was a 59-year-old man who presented with a left upper lip mass that was 15 mm in diameter, elastic hard, and mobile. The patient reported no pain on palpation, and no metastasis was evident in regional lymph nodes. The tumor was homogeneous inside the left upper lip on CT soft-tissue display, appearing somewhat hyperdense as compared with muscle. Based on the results of biopsy, adenocarcinoma was diagnosed. With the patient under general anesthesia, the left upper labial mucosa was dissected, and the tumor was excised en bloc with the overlying skin. We performed a reconstruction procedure combining a rhomboid flap and a V-Y advancement flap. The pathological diagnosis was basal cell adenocarcinoma. No local recurrence or metastasis has been seen as of 2 years postoperatively. |
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| AbstractList | We report a case of basal cell adenocarcinoma of the upper lip in which reconstruction was performed using a V-Y advancement flap. The patient was a 59-year-old man who presented with a left upper lip mass that was 15 mm in diameter, elastic hard, and mobile. The patient reported no pain on palpation, and no metastasis was evident in regional lymph nodes. The tumor was homogeneous inside the left upper lip on CT soft-tissue display, appearing somewhat hyperdense as compared with muscle. Based on the results of biopsy, adenocarcinoma was diagnosed. With the patient under general anesthesia, the left upper labial mucosa was dissected, and the tumor was excised en bloc with the overlying skin. We performed a reconstruction procedure combining a rhomboid flap and a V-Y advancement flap. The pathological diagnosis was basal cell adenocarcinoma. No local recurrence or metastasis has been seen as of 2 years postoperatively. |
| Author | 渡部, 幸央 重松, 司朗 神山, 勲 松崎, 勇佑 丹羽, 順子 小林, 大輔 |
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| References | 2) Ellis GL, Auclair PL, et al : Basal cell adenocarcinoma, surgical pathology of the salivaryglands. Saunders, Philadelphia, 1991, p441-454. 20) Sakalhoğlu O, Pehlivan S, et al : Basal cell adenocarcinoma of the minor salivary gland: a case report. Kulak Burun Bogaz Ihtis Derg 22: 46-49, 2012. 24) David WC, Nikhila R, et al : Minor salivary gland basal cell adenocarcinoma; a systematic review and report of a new case. JAMA Otolaryngol Head Neck Surg 141: 276- 283, 2015. 12) Gross M, Maly B, et al : Basal cell adenocarcinoma in a buccal minor salivary gland. Acta Otolaryngol 124: 213- 216, 2004. 26) Rajiv S Desai, Bansari A Bhuta, et al : Basal cell adenocarcinoma of the upper lip: a case report: Case Reports in Clinical Pathology 1: 33-35, 2014. 14) Yamagata K, Oka K, et al : Basal cell adenocarcinoma aris- ing from the minor salivary gland in the soft palate: A case report. Pathol Res Pract 202: 475-480, 2006. 15) Parashar P, Baron E, et al : Basal cell adenocarcinoma of the oral minor salivary glands: review of the literature and presentation of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 77-84, 2007. 19) Akiyama K, Karaki M, et al : A massive basal cell ad- enocarcinoma of the palatal minor salivary gland that pro- gressed into the pterygopalatine fossa. Int J Oral Maxillofac Surg 41: 444-447, 2012. 33) Zook EG, Van Beek AL, et al : V-Y advancement flap for facial defects. Plast Reconstr Surg 65: 786-797, 1980. 7) Sousa SOM, Schwarzscild M, et al : Basal cell adenocarci-noma of the plate with squamous metaplasia. J Clin Pathol 53: 153-156, 2000. 1) 藍沢茂雄， 白川正順， 他：耳下腺基底細胞腺腫の3例．癌の臨 26: 1361-1365, 1980. 6) Plath T and Dallenbach F : Basalzelladenokarzinom der kleinen speicheldrüsen des gaumens. Mund Kiefer Gesichts Chir 2: 275-278, 1998. 8) Wada T, Morita N, et al : Basal cell adenocarcinoma of the minor salivary gland: A case report. J Oral Maxillofac Surg 58: 811-814, 2000. 23) Chen S, Yang S, et al : Basal cell adenocarcinoma of buccal minor salivary gland with liver metastasis. Ann Saudi Med 35: 318-320, 2015. 25) 武富孝治， 轟 圭太， 他：軟口蓋に発生した基底細胞腺癌の1例．口腔腫瘍 29: 53-58, 2017. 22) 上嶋伸知， 新村兆一郎， 他：口蓋の小唾液腺に発生した基底細胞腺癌の1例．日口外誌 61: 363-367, 2015. 9) 池田順行， 飯田明彦， 他：上唇に発生した基底細胞腺癌の1例．日口外誌 48: 168-171, 2002. 3) Ellis GL, Wiscovitch JG, et al : Basal cell adenocarcinoma of the major salivary gland. Oral Surg Oral Med Oral Pathol 69: 461-469, 1990. 32) Emmett AJJ : The closure of defects by using adjacent triangular flaps with subcutaneous pedicles. Plast Reconstr Surg 59: 45-52, 1977. 17) Hirai H, Harada H, et al : Basal cell adenocarcinoma of up- per gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107: 542-546, 2009. 29) Cheuk W and Chan JKC : Salivary gland tumors; Diagnostic Histopathology of tumors. second ed. Churchill Livingstone, London, 2000, p231-311. 18) Gupta G, Singh R, et al : Basal cell adenocarcinoma in the tongue: An unusual presentation. Clin Med Insights Oncol 4: 127-131, 2010. 31) Trevaskis AE, Rempel J, et al : Sliding subcutaneous-pedicle flap to close a circular defect. Plast Reconstr Surg 46: 155-157, 1970. 30) 山本正樹， 井本敏弘， 他：V-Y Advancement Flap (口輪筋筋皮弁) にて再建した左上口唇の基底細胞癌例．石川中病医誌 25: 99-101, 2003. 34) 池田佳奈枝， 四ツ柳高敏：【研修医・外科系医師が知ッておくべき形成外科の基本知識と手技】．形成外科 55: 115-119, 2012. 4) Lo AK, Topf JS, et al : Minor salivary gland basal cell adenocarcinoma of the palate. J Oral Maxillofac Surg 50: 531-534, 1992. 10) Jayakrishnan A, Elmalah I, et al : Basal cell adenocarcinoma in minor salivary glands. Histopathology 42: 610-614, 2003. 11) 豊田博紀， 山口万枝， 他：口蓋に発生した基底細胞癌の1例．日口外誌 49: 99-102, 2003. 5) Yoshida H, Okamoto M, et al : Basal cell adenocarcinoma arising in a minor salivary gland of the mandible. Oral Med Pathol 1: 97-102, 1996. 16) Ward BK, Seethala RR, et al : Basal cell adenocarcinoma of a hard palate minor salivary gland: case report and re- view of the literature. Head Neck Oncol 1: 41, 2009. 13) Poulopoulos AK, Andreades D, et al : Basal cell adenocarcinoma of the minor salivary gland: Case report and cell adhesion molecules immunocytochemical profile. Oral Oncol 41: 150-153, 2005. 21) Sarath PV, Kannan N, et al : Basal cell adenocarcinoma of the minor salivary gland involving palate and maxillary sinus. J Clin Imaging Sci 3: 4, 2013. 28) Jung MJ, Roh JL, et al : Basal cell adenocarcinoma of the salivary gland: a morphological and immunohistochemical comparison with basal cell adenoma with and without capsular invasion. Diagn Pathol 8: 171-179, 2013. 27) Nagao T, Sugano I, et al : Basal cell adenocarcinoma of the salivary glands comparison with basal cell adenoma through assessment of cell proliferation, apoptosis, and expression of p53 and bcl-2. Cancer 82: 439-447, 1998. |
| References_xml | – reference: 16) Ward BK, Seethala RR, et al : Basal cell adenocarcinoma of a hard palate minor salivary gland: case report and re- view of the literature. Head Neck Oncol 1: 41, 2009. – reference: 6) Plath T and Dallenbach F : Basalzelladenokarzinom der kleinen speicheldrüsen des gaumens. Mund Kiefer Gesichts Chir 2: 275-278, 1998. – reference: 34) 池田佳奈枝， 四ツ柳高敏：【研修医・外科系医師が知ッておくべき形成外科の基本知識と手技】．形成外科 55: 115-119, 2012. – reference: 7) Sousa SOM, Schwarzscild M, et al : Basal cell adenocarci-noma of the plate with squamous metaplasia. J Clin Pathol 53: 153-156, 2000. – reference: 4) Lo AK, Topf JS, et al : Minor salivary gland basal cell adenocarcinoma of the palate. J Oral Maxillofac Surg 50: 531-534, 1992. – reference: 10) Jayakrishnan A, Elmalah I, et al : Basal cell adenocarcinoma in minor salivary glands. Histopathology 42: 610-614, 2003. – reference: 24) David WC, Nikhila R, et al : Minor salivary gland basal cell adenocarcinoma; a systematic review and report of a new case. JAMA Otolaryngol Head Neck Surg 141: 276- 283, 2015. – reference: 8) Wada T, Morita N, et al : Basal cell adenocarcinoma of the minor salivary gland: A case report. J Oral Maxillofac Surg 58: 811-814, 2000. – reference: 18) Gupta G, Singh R, et al : Basal cell adenocarcinoma in the tongue: An unusual presentation. Clin Med Insights Oncol 4: 127-131, 2010. – reference: 14) Yamagata K, Oka K, et al : Basal cell adenocarcinoma aris- ing from the minor salivary gland in the soft palate: A case report. Pathol Res Pract 202: 475-480, 2006. – reference: 1) 藍沢茂雄， 白川正順， 他：耳下腺基底細胞腺腫の3例．癌の臨 26: 1361-1365, 1980. – reference: 20) Sakalhoğlu O, Pehlivan S, et al : Basal cell adenocarcinoma of the minor salivary gland: a case report. Kulak Burun Bogaz Ihtis Derg 22: 46-49, 2012. – reference: 19) Akiyama K, Karaki M, et al : A massive basal cell ad- enocarcinoma of the palatal minor salivary gland that pro- gressed into the pterygopalatine fossa. Int J Oral Maxillofac Surg 41: 444-447, 2012. – reference: 26) Rajiv S Desai, Bansari A Bhuta, et al : Basal cell adenocarcinoma of the upper lip: a case report: Case Reports in Clinical Pathology 1: 33-35, 2014. – reference: 28) Jung MJ, Roh JL, et al : Basal cell adenocarcinoma of the salivary gland: a morphological and immunohistochemical comparison with basal cell adenoma with and without capsular invasion. Diagn Pathol 8: 171-179, 2013. – reference: 5) Yoshida H, Okamoto M, et al : Basal cell adenocarcinoma arising in a minor salivary gland of the mandible. Oral Med Pathol 1: 97-102, 1996. – reference: 9) 池田順行， 飯田明彦， 他：上唇に発生した基底細胞腺癌の1例．日口外誌 48: 168-171, 2002. – reference: 15) Parashar P, Baron E, et al : Basal cell adenocarcinoma of the oral minor salivary glands: review of the literature and presentation of two cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 77-84, 2007. – reference: 25) 武富孝治， 轟 圭太， 他：軟口蓋に発生した基底細胞腺癌の1例．口腔腫瘍 29: 53-58, 2017. – reference: 12) Gross M, Maly B, et al : Basal cell adenocarcinoma in a buccal minor salivary gland. Acta Otolaryngol 124: 213- 216, 2004. – reference: 27) Nagao T, Sugano I, et al : Basal cell adenocarcinoma of the salivary glands comparison with basal cell adenoma through assessment of cell proliferation, apoptosis, and expression of p53 and bcl-2. Cancer 82: 439-447, 1998. – reference: 29) Cheuk W and Chan JKC : Salivary gland tumors; Diagnostic Histopathology of tumors. second ed. Churchill Livingstone, London, 2000, p231-311. – reference: 22) 上嶋伸知， 新村兆一郎， 他：口蓋の小唾液腺に発生した基底細胞腺癌の1例．日口外誌 61: 363-367, 2015. – reference: 23) Chen S, Yang S, et al : Basal cell adenocarcinoma of buccal minor salivary gland with liver metastasis. Ann Saudi Med 35: 318-320, 2015. – reference: 32) Emmett AJJ : The closure of defects by using adjacent triangular flaps with subcutaneous pedicles. Plast Reconstr Surg 59: 45-52, 1977. – reference: 3) Ellis GL, Wiscovitch JG, et al : Basal cell adenocarcinoma of the major salivary gland. Oral Surg Oral Med Oral Pathol 69: 461-469, 1990. – reference: 13) Poulopoulos AK, Andreades D, et al : Basal cell adenocarcinoma of the minor salivary gland: Case report and cell adhesion molecules immunocytochemical profile. Oral Oncol 41: 150-153, 2005. – reference: 2) Ellis GL, Auclair PL, et al : Basal cell adenocarcinoma, surgical pathology of the salivaryglands. Saunders, Philadelphia, 1991, p441-454. – reference: 11) 豊田博紀， 山口万枝， 他：口蓋に発生した基底細胞癌の1例．日口外誌 49: 99-102, 2003. – reference: 21) Sarath PV, Kannan N, et al : Basal cell adenocarcinoma of the minor salivary gland involving palate and maxillary sinus. J Clin Imaging Sci 3: 4, 2013. – reference: 17) Hirai H, Harada H, et al : Basal cell adenocarcinoma of up- per gingiva. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 107: 542-546, 2009. – reference: 30) 山本正樹， 井本敏弘， 他：V-Y Advancement Flap (口輪筋筋皮弁) にて再建した左上口唇の基底細胞癌例．石川中病医誌 25: 99-101, 2003. – reference: 33) Zook EG, Van Beek AL, et al : V-Y advancement flap for facial defects. Plast Reconstr Surg 65: 786-797, 1980. – reference: 31) Trevaskis AE, Rempel J, et al : Sliding subcutaneous-pedicle flap to close a circular defect. Plast Reconstr Surg 46: 155-157, 1970. |
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| Title | V-Y Advancement Flapにより再建した上唇部基底細胞腺癌の1例 |
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