증례

연구개에서 발생한 근상피종 1례

심현준1,*, 권순욱1, 윤상원1, 김은경2
Hyun Joon Shim1,*, Soon Uk Kwon1, Sang Won Yoon1, Eun Kyung Kim2
Author Information & Copyright
1을지의과대학교 이비인후과학교실
2병리학교실
1Department of Otolaryngology, EulJi University, Seoul, Korea
2Pathology, School of Medicine, EulJi University, Seoul, Korea
*교신저자: 심현준, 139-231 서울 노원구 하계 1동 280-1 을지의과대학교 이비인학과학교실 전화: (02) 970-8276·전송: (02) 970-8275 E-mail: 0simpson@hanmail.net

© Copyright 2003 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Mar 18, 2003; Accepted: May 09, 2003

Published Online: May 31, 2020

ABSTRACT

Myoepithelioma is a rare tumor of the salivary glands and other exocrine organs. Myoepithelial cells having structural features of both epithelial and smooth muscle cells are situated between the basal lamina and the acinar and ductal cells. It accounts for less than 1% of all salivary gland tumors and the parotid gland is the most common site followed by the minor salivary glands of palate. Because of variety of their cytology and architecture, pathologic diagnosis is difficult and may cause confusion with the myoepithelial-cell-predominant variants of pleomorphic adenoma. Some immunohistochemical markers-S-100 protein, cytokeratin, vimentin, glial fibrillary acidic protein (GFAP), muscle specific actin (MSA)- is helpful for diagnosis. The treatment of choice is surgical excision with marginal amount of uninvolved tissue, and although there is not sufficient database the prognosis maybe parallels that of pleomorphic adenoma. In this report, we presents a case of myoepithelioma arising in the soft palate together with a review of the literature. (J Clinical Otolaryngol 2003;14:148-150)

Keywords: 근상피종; 연구개
Keywords: Myoepithelioma; Soft palate


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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