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Adenoid kistik karsinoma (AKK), tükrük bezlerinin ikinci en sık malign epitelyal tümörüdür. Bu vaka sunumunun amacı parotis bezinde görülen bir solid AKK vakasının sunmaktı. Kliniğimize sağ mandibula posterior bölgede şişlik, ağrı ve parestezi şikayetiyle 69 yaşında erkek hasta başvurmuştur. Klinik muayenede mandibu¬lar molar bölgede ülserasyonlu alanlar görülmüştür. Submandib¬uler ve servikal lenfadenopatiler tespit edilmiş, bukkal mukozada ekspansif karakterde bir kitle tespit edilmiştir. Panoramik radyo¬grafide sağ ramus mandibulada radyolusent bir lezyon izlenmiş, konik ışınlı bilgisayarlı tomografide (KIBT) lezyonun kemikte destrüksiyona yol açtığı tespit edilmiştir. Biyopsi sonucunda AKK olduğu rapor edilip eksizyonu önerilmiştir. Erken tanı ve tedavi sağ kalım ve uzak bölgelere metastazı engellemek açısından çok önemlidir. Bu nedenle doğru tanı ve değerlendirme bu tip vakaların tedavi başarısını etkileyecektir.
Adenoid cystic carcinoma (ACC) is a secondary malignant epithelial tumor of the mirror glands. The purpose of this case presentation was to present a solid AKK case seen in the parotis gland. A 69-year-old male patient was applied to our clinic with a complaint of swelling, pain and paresthesia in the rear area of the right mandibula. In clinical trials, mandibu¬s have been observed in the molar area with ulcers. Submandibular and cervical lymphadenopathy have been detected, a mass of expansive character has been detected in the pancreas mucus. In the panoramic radio graphic a radiolusent in the right ramus mandibula has been observed, in the conic radiated computer tomography (KIBT) the injury has been found to cause destruction in the bone. The biopsy resulted in the report that AKK was presented and the exhibition was recommended. Early diagnosis and treatment are very important in order to prevent survival and metastasis in remote areas. Therefore, the correct diagnosis and evaluation will affect the success of treatment of these types of cases.
Adenoid cystic carcinoma (ACC) is the second most common malignant epithelial tumor of the salivary glands.The aim of this case report was to present a solid ACC case seen in the parotid gland. A 69-year-old male patient was admitted to our clinic with complaints of swelling, pain and paraesthesia in the posterior right mandible. In clinical examination mandibular ulcerated areas were observed. Submandibular and cervical lymphadenopathies and an expansive mass were detected in the buccal mucosa. In panoramic radiography, a radiolucent lesion was observed in the right ramus mandible, and in cone beam computed tomography(CBCT) it was determined that lesion caused bone destruction. As result of the biopsy, it was reported as ACC and excision was recommended. Early diagnosis and treatment is very important in terms of survival and prevention of metastasis to distant areas. Therefore, accurate diagnosis and evaluation will affect the treatment success.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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