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Resilience Through Squamous Cell Carcinoma and Rhabdomyosarcoma of Oral Cavity: A Unique Case Report

机译:通过口腔鳞状细胞癌和横纹肌肉瘤的复原力:独特的病例报告。

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摘要

Rhabdomyosarcoma (RMS) is a soft tissue neoplasm of mesenchymal origin. It is a commonly encountered malignant tumor amongst pediatric patients, yet relatively rare in adults. It usually involves the head and neck region, genitourinary organs and retroperitoneal structures. In adults, the most commonly affected area is the head and neck region. We present here a case of a 30-year-old male patient with a primary squamous cell carcinoma of the tongue (T1, N0, M1), successfully cured with surgery and chemoradiotherapy and later on development of metachronous ipsilateral lesion on the left lower alveolus. Biopsy was consistent with spindle cell RMS. Immunohistochemistry demonstrated positivity for desmin, vimentin and myogenin, thus confirming the mesenchymal origin. With the best of our literature search, this is an exceptional case presenting two malignant lesions with diverse genetic origins, diagnosed at stage 1 and giving a favorable outcome.
机译:横纹肌肉瘤(RMS)是间充质来源的软组织肿瘤。它是小儿患者中常见的恶性肿瘤,但在成年人中相对较少。它通常涉及头颈部区域,泌尿生殖器官和腹膜后结构。在成年人中,最常见的受影响区域是头部和颈部区域。我们在这里介绍了一例30岁男性患者,患有原发性舌鳞状细胞癌(T1,N0,M1),已通过手术和放化疗成功治愈,随后在左下牙槽al发生同侧病变。活检与梭形细胞RMS一致。免疫组织化学显示对结蛋白,波形蛋白和肌生成素呈阳性,从而证实了间充质来源。根据我们的最佳文献检索,这是一个异常病例,其中表现出两个具有不同遗传起源的恶性病变,在第1阶段被诊断出并给出了令人满意的结果。

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