日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
左側舌尖部に発生した乳頭状腺癌の1例
梁川 哲雄加地 亮詞板東 高志川又 均由良 義明吉田 秀夫佐藤 光信出口 博代林 良夫
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1991 年 37 巻 4 号 p. 824-827

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A papillary adenocarcinoma with metastasis occurred in a 68-year old man. The neoplasma arose on the left apex of the tongue and metastasized to both neck lymph nodes. A partial glossectomy, marginal resection of the mandible and total neck dissection of both sides of the neck were performed. Histopathologic examination showed that the tumor was papillary adenocarcinoma, which invaded into deep muscle tissues and adjacent minor salivary glands but not in to the sublingual gland. In addition, metastatic papillary adenocarcinoma of 10 lymph nodes in the remaining 26 left cervical lymph nodes and 1 lymp node in the remaining 16 right cervical lymph nodes were observed.
To clarify whether papillary adenocarcinoma of the tongue originated in the minor salivary gland or cc topic thyroid gland the immunohistochemical method was applied with the result that amylase (salivary type) was positive but thyroglobulin was negative. TI use results including clinical manifestation indicated that tumor originated in the minor salivary gland.

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