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全文: "片岡礼子"
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  • Takeshi Mohri, Tomonori Terada, Nobuhiro Uwa, Kosuke Sagawa, Akihiro Takaoka, Yoshitane Tsukamoto, Masafumi Sakagami
    耳鼻咽喉科臨床 補冊
    2016年 145 巻 96-97
    発行日: 2016年
    公開日: 2016/06/14
    ジャーナル 認証あり
    Papillary cystadenocarcinoma is a salivary gland tumor that was classified as a subtype of adenocarcinoma by the World Health Organization (WHO) in 1991. It is histologically characterized by papillary growth with a cyst-like structure. The incidence is extremely low, with this tumor accounting for less than 0.2% of all salivary gland tumors. We report our experience of two patients with papillary cystadenocarcinoma, the tumor originating from a small salivary gland in the first case and from the sublingual gland in the second, with a review of the literature.
    Patient 1 was a 73-year-old woman who presented with a cyst-like tumor at the base of the tongue. Biopsy led to the diagnosis of papillary cystadenocarcinoma, and tumor resection was performed by the suprahyoid approach under general anesthesia. Histopathology of the resected specimen revealed the diagnosis of papillary cystadenocarcinoma of low-grade malignancy originating from a small salivary gland. Until now, 4 years since treatment by surgery, the patient has shown no evidence of relapse. Patient 2 was a 67-year-old woman who was diagnosed as having papillary cystadenocarcinoma and underwent tumorectomy by the suprahyoid approach and manipulation from the oral cavity. The pathological diagnosis was papillary cystadenocarcinoma of high-grade malignancy originating from the sublingual gland. Because the resection line allowed for only a close margin, postoperative radiation therapy (60 Gy/30 Fr) was administered. Thereafter, the patient developed repeated recurrences, and despite salvage surgery, she died 4 years and 3 months after the initial surgery.
    Although papillary cystadenocarcinoma shows slow growth and benign tumor-like features, in some cases, the tumor is classified as being of high-grade malignancy relapses occur, therefore, treatment should be selected with due consideration given to the possibility of relapse and metastasis.
  • 伊達 貴和子, 鎌谷 宇明, 吉濱 泰斗, 磯辺 友秀, 立川 哲彦, 新谷 悟
    Dental Medicine Research
    2011年 31 巻 1 号 41-44
    発行日: 2011/03/31
    公開日: 2013/03/19
    ジャーナル フリー
    唾液腺由来の嚢胞腺癌は極めて稀であり, かつて悪性の嚢胞腺腫, 粘液産生型乳頭腺癌と呼ばれていた. 我々は, 臼後部に生じた嚢胞腺癌の一例を報告する. 症例は30歳の男性で左側下顎臼後部に直径約5 mmの腫瘤を認めた. 腫瘤は弾性軟であり, 周囲組織との癒着はなかった. 下顎良性腫瘍という臨床診断の下, 全摘生検を施行した. 組織学的診断の結果, 悪性の唾液腺腫瘍との診断を得たため, 10 mmの安全域を設けて追加切除した. 病理組織学的には腫瘍性上皮成分は充実性で篩状又は小嚢胞状を呈し, 小唾液腺を破壊しており, 軽度の核の異型性を認めたため, 嚢胞腺癌との確定診断を得た. 腫瘍切除後, 約半年が経過し, 転移および再発は認められない.
  • 土井 理恵子, 柴田 昌美, 片岡 礼子, 田窪 千子, 阪本 博文, 領家 和男
    日本口腔外科学会雑誌
    2003年 49 巻 8 号 501-504
    発行日: 2003/08/20
    公開日: 2011/04/22
    ジャーナル フリー
    A rare case of papillary cystadenocarcinoma of the sublingual gland was immunohistochemically studied. Regional lymph node metastasis was present at the time of diagnosis. Histologically, the tumor showed an invasive, cystic growth pattern and had a conspicuous papillary component. The predominant cell type of the tumor was a combination of tall columnar and large cuboidal cells. Immunohistochemical analysis indicated higher labelling indices of CD34 (31.9%) and Ki67 (40.1%) as compared with adenoid cystic carcinoma (ACC). Cyclooxygenase-2 expression was similar to that of ACC. These findings suggested a characteristic high-grade malignancy that required close follow-up.
  • 毛利 武士, 寺田 友紀, 宇和 伸浩, 佐川 公介, 髙岡 亮裕, 塚本 吉胤, 阪上 雅史
    耳鼻咽喉科臨床
    2015年 108 巻 11 号 851-858
    発行日: 2015年
    公開日: 2015/11/01
    ジャーナル 認証あり
    Papillary cystadenocarcinoma is a salivary gland tumor that was classified as a subtype of adenocarcinoma by the World Health Organization (WHO) in 1991. It is histologically characterized by papillary growth with a cyst-like structure. The incidence is extremely low, with this tumor accounting for less than 0.2% of all salivary gland tumors. We report our experience of two patients with papillary cystadenocarcinoma, the tumor originating from a small salivary gland in the first case and from the sublingual gland in the second, with a review of the literature.
    Patient 1 was a 73-year-old woman who presented with a cyst-like tumor at the base of the tongue. Biopsy led to the diagnosis of papillary cystadenocarcinoma, and tumor resection was performed by the suprahyoid approach under general anesthesia. Histopathology of the resected specimen revealed the diagnosis of papillary cystadenocarcinoma of low-grade malignancy originating from a small salivary gland. Until now, 4 years since treatment by surgery, the patient has shown no evidence of relapse. Patient 2 was a 67-year-old woman who was diagnosed as having papillary cystadenocarcinoma and underwent tumorectomy by the suprahyoid approach and manipulation from the oral cavity. The pathological diagnosis was papillary cystadenocarcinoma of high-grade malignancy originating from the sublingual gland. Because the resection line allowed for only a close margin, postoperative radiation therapy (60 Gy/30 Fr) was administered. Thereafter, the patient developed repeated recurrences, and despite salvage surgery, she died 4 years and 3 months after the initial surgery.
    Although papillary cystadenocarcinoma shows slow growth and benign tumor-like features, in some cases, the tumor is classified as being of high-grade malignancy relapses occur, therefore, treatment should be selected with due consideration given to the possibility of relapse and metastasis.
  • 江花 昭一
    心身医学
    2005年 45 巻 9 号 655-661
    発行日: 2005/09/01
    公開日: 2017/08/01
    ジャーナル フリー
    医療施設に勤務する心理士は, 初診時のインテーク面接, 心理的査定, 心理療法などの活動を担っている.したがって医師が心理士に求めるものの第一は, それらの業務の遂行に必要とされる専門的知識と技術である.また医療施設に勤務する心理士は, 医師, 看護師と並んでチーム医療の柱である.したがって医師が心理士に求めるものの第二は, チーム医療の運営への協力であり, そのために必要な知識と技術である.さらに医療施設での心理士の業務は, 医療の一環という面をもち, 心理士も潜在的には診療の補助者と位置づけられる.したがって医師が心理士に求めるものの第三は, 診療補助者として必要な法的, 医学的知識である.上記の課題を十分に達成するためには, 医療福祉分野の心理士の国家資格制度が整備されなければならないものと考えられる.
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