著者
氷見 徹夫 高野 賢一 亀倉 隆太 坪松 ちえ子 阿部 亜由美 山下 恵司
出版者
日本口腔・咽頭科学会
雑誌
口腔・咽頭科 (ISSN:09175105)
巻号頁・発行日
vol.29, no.1, pp.19-24, 2016-03-31 (Released:2016-06-23)
参考文献数
11

唾液腺腫脹を伴う疾患は日常的に遭遇する疾患から非常にまれな疾患まで多彩である. 鑑別診断を容易にするため, 一側性と両側性腫脹を示す疾患の概略を述べ, 次に, 両側性腫脹を示すいわゆる非腫瘍性のミクリッツ症候群を示す疾患と IgG4 関連疾患であるミクリッツ病とキュットナー腫瘍についての最新の知見を紹介した. 感染性疾患では HIV 関連唾液腺疾患についても言及した. 唾液腺腫脹を示す非腫瘍性疾患は原因不明あるいは病態も明らかになっていない疾患が多いため, 歴史的変遷も含め最近の考え方を解説した.
著者
亀倉 隆太 坪田 大 新谷 朋子 今井 良吉 関 伸彦 上村 正見 浜本 誠 氷見 徹夫
出版者
耳鼻咽喉科臨床学会
雑誌
耳鼻咽喉科臨床 (ISSN:00326313)
巻号頁・発行日
vol.99, no.11, pp.919-927, 2006-11-01 (Released:2011-10-07)
参考文献数
44
被引用文献数
1 4

Small cell carcinoma is relatively common in the lung, but very rare in the head and neck region. We describe our experience with two extremely rare cases of small cell carcinoma arising in the nasal cavity and paranasal sinus.(Case 1) The patient was a 54-year-old man who had complained of left eyelid swelling and diplopia. He had a mass in the left maxillary sinus. He was treated with irradiation and chemotherapy. However, during the treatment, distant metastasis appeared in the skin and he died 4 months after the initial treatment.(Case 2) The patient was a 47-year-old woman who had complained of left nasal obstruction. She had a mass in the left nasal cavity. Surgical resection and postoperative radiotherapy were performed. However, after the initial treatment, a metastatic swelling of the left cervical lymph node appeared. Left neck dissection was performed, and she underwent two courses of adjuvant chemotherapy. Following the initial treatment, no evidence of recurrence has been observed for 29 months.