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2022, vol. 17, br. 3, str. 179-183
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Metastaza submandibularnog adenoidnog cističnog karcinoma na femuru kao uzrok patološkog preloma - prikaz slučaja
Metastasis of submandibular adenoid cystic carcinoma to the femur bone causing pathological fracture: A case report
Univerzitet u Ankari, Medicinski fakultet, Katedra za ortopediju i traumatologiju, Ankara, Turska
e-adresa: kamilbalaban1@gmail.com
Sažetak
Uvod: Adenoidni cistični karcinom (ACC) je retka maligna bolest glave i vrata i najčešće se dijagnostikuje u pljuvačnim žlezdama. Takođe je poznat po sporom kliničkom toku i produženom preživljavanju osim ako ne dođe do udaljenih metastaza. Čak i nakon dužeg perioda od otkrivanja primarnog tumora, metastaze u plućima, mozgu, jetri i kostima imaju tendenciju da se pojave. Prikaz slučaja: Predstavljamo 53-godišnjeg muškarca koji se javio s patološkim prelomom femura trinaest godina nakon pojave submandibularnog ACC. Naš pacijent je prijavio poboljšani ishod nakon resekcione hemiartroplastike zbog metastaza u kostima. Zaključak: Pokušali smo da istaknemo važnost periodičnih pregleda zbog verovatnoće udaljenih metastaza i obrada ukoliko je to neophodno u tako retkim slučajevima. Treba imati na umu da pravilno lečenje koštanih metastaza može dovesti do poboljšanja kvaliteta života.
Abstract
Introduction: Adenoid cystic carcinoma (ACC) is a rare head and neck malignancy and is likely to be diagnosed in the major salivary glands. It's also known for its slow clinical course and prolonged survival unless no distant metastasis occurs. Even after a long period from the detection of the primary tumor, metastasis to the lung, brain, liver, and bone has a tendency to occur. Case presentation: We report a 53-year-old man who presented with a pathological femur fracture thirteen years after the presentation of submandibular ACC. Our patient reported an improved patient-reported outcome after undergoing resection hemiarthroplasty for his bone metastasis. Conclusion: We tried to accentuate the importance of periodical visits for the probability of distant metastasis and the work-up if it's necessary in such a rare case. It should be kept in mind that proper management of bone metastasis may lead to improvements in the quality of life.
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