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2015, vol. 143, br. 9-10, str. 599-603
Akantolitički planocelularni karcinom ušne školjke s pojavom metastatske bolesti i smrtnim ishodom - prikaz bolesnika
aUniverzitet u Beogradu, Medicinski fakultet + Klinički centar Srbije, Klinika za ORL i MFH, Beograd
bKlinički centar Srbije, Klinika za ORL i MFH, Beograd

e-adresaanajotic@yahoo.com
Ključne reči: Akantolitički planocelularni karcinom; lokalne metastaze; smrtni ishod
Sažetak
Uvod Akantolitički planocelularni (adenoskvamozni) karcinom kože je relativno retka varijanta planocelularnog karcinoma, a najčešće se javlja kod starijih ljudi na delovima kože koji su izloženi suncu. Predominantne lokalizacije su glava, vrat i gornji ekstremiteti. Incidencija metastaza ovog karcinoma je 2-14%. Prikaz bolesnika Prikazan je muškarac star 76 godina sa znacima levostrane periferne paralize facijalnog nerva i tumorskom promenom levo na vratu. Pet meseci pre javljanja simptoma lečen je od akantolitičkog planocelularnog karcinoma ekscizijom ulcerozne promene na gornjoj trećini leve ušne školjke. Zbog patohistološki i radiološki dokazane infiltrativne metastatske tumorske promene na vratu levo, lečen je hirurški. U postoperacionom toku vrlo brzo je došlo do lokoregionalne progresije bolesti na vratu, koja se završila smrtnim ishodom. Zaključak Kod osoba sa dijagnostikovanim planocelularnim karcinomom kože (uključujući i akantolitičku varijantu) promera većeg od 4 cm u aurikulo-temporalnoj regiji, sa znacima duboke tkivne invazije i limfovaskularnom i perineuralnom invazijom, povećan je rizik od pojave lokoregionalnih metastatskih depozita. Neophodno je bolesnika podvrgavati češćim onkološkim kontrolama sa dopunskom dijagnostikom radi otkrivanja regionalnih metastaza.
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O članku

jezik rada: srpski
vrsta rada: prikaz slučaja
DOI: 10.2298/SARH1510599J
objavljen u SCIndeksu: 27.11.2015.