증례

이하선에서 발생한 상피-근상피암종 1예

이은지1, 박헌수1, 홍종철1,*
Eun Ji Lee1, Heon Soo Park1, Jong Chul Hong1,*
Author Information & Copyright
1동아대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, Dong-A University College of Medicine, Busan, Korea
*교신저자: 홍종철, 49201 부산광역시 서구 대신공원로 26 동아대학교병원 이비인후-두경부외과학교실 전화 :(051) 240-5423·전송:(051) 253-0712 E-mail:santa@dau.ac.kr

© Copyright 2015 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: May 01, 2015; Revised: Jun 19, 2015; Accepted: Jul 17, 2015

Published Online: May 31, 2020

ABSTRACT

Epithelial-myoepithelial carcinoma is a very rare tumor. It is a low-grade malignant tumor and grows slowly, has a clear boundary of a lesion on a CT. As for its treatment, resection including free margin is the first priority, and it shows a recurrence rate of 40%, but its five-year survival rate is 87.5%. The authors lately carried out a micro-invasive examination of a mass in the right parotid gland of a 62-year-old female, but it neither showed any malignancy nor was distinguished from pleomorphic adenoma on CT. For the diagnosis and treatment, superficial parotidectomy was performed. In a histopathological examination, she was diagnosed with an epithelial-myoepithelia carcinoma so till now she does not show any recurrence. Therefore, the authors would like to report that epithelial-myoepithelial carcinoma of the parotid gland, which has rarely been reported in literature, was diagnosed and treated successfully. (J Clinical Otolaryngol 2015;26:288-291)

Keywords: 이하선; 상피-근상피 암종
Keywords: Parotid gland; Epithelial-Myoepithelial carcinoma


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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