台灣耳鼻喉頭頸外科醫學會

類　　　別

病例報告

標　　　題

Spindle Cell Carcinoma in Unknown Primary Head and Neck Cancer-Case Report 僅供有效會員登入會員查看全文

頁　　　次

46~50

語　　　言

英文

關　鍵　詞

head and neck cancer、sarcomatoid carcinoma、spindle cell carcinoma、頭頸癌、肉癌瘤、梭狀細胞癌

作　者　群

Chun-Hsiang Hsu¹ 、Chun-Tien Chen² 、Pin-Zhir Chao^1,3 、Fei-Peng Lee^1,4 、Hsing-Won Wang^1,3

現　　　職

Department of Otolaryngology-Head and Neck Surgery, Shuang Ho Hospital, Taipei Medical University¹ 、Department of Medical Education, Shuang Ho Hospital, Taipei Medical University² 、Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University³ 、Department of Otolaryngology, School of Medicine, College of Medicine, Taipei Medical University⁴

摘　　　要

Spindle cell carcinoma, as defined by the National Institutes of Health, is also known as sarcomatoid carcinoma. It is a type of cancer that appears to be a mixture of carcinoma and sarcoma. The sarcoma-like cells are often spindle cells. The overlapping effects of both cancers mean that misdiagnosis and mortality rates are high for rare cases. This paper presents a rare case of a 70-year old male with neck mass, which was initially diagnosed as myeloid sarcoma, but later diagnosed as spindle cell carcinoma in unknown primary head and neck cancer. He then received concurrent chemoradiotherapy and eventually expired 6 months after the onset of symptoms. To the authors' best knowledge, this is the first case of spindle cell carcinoma in unknown primary head and neck cancer to be reported in English. So we presented how this rare case was diagnosed and treated, expecting those similar patients in the future could have better management.(J Taiwan Otolaryngol Head Neck Surg 2020; 55:46-50)

台耳醫誌

雜誌專區 -第55卷第1期