54 1 30 34 2011 sosqumous cell crcinom 1 1 2 2 2 2 2 sosqumous cell crcinom 60 sosqumous cell crcinom 2 Bsosqumous cell crcinom Bsosqumous cell crcinom BSCC BSCC sosqumous cell crcinom BSCC BSCC BSCC 60 40 42 2007 1 2 2008 1 2008 2 1 1 2 2009 1 1 N/C 2 30 30
sosqumous cell crcinom 1 54 1 CT 3 Stge III 2009 2 10mm Mohs 6mm 4 2 5 2 sosqumous cell crcinom 6 180 64 33.9dB 2 BSCC 1957 Lund 1 sl cell crcinom BCC squmous cell crcinom SCC BSCC Tlot 2 1,833 BSC 61.4 SCC 38.5BSCC 0.1 BSCC 1.2 2.7 3 5 60 6 BCC BCC 24.2 45.7 7.4SCC 0.87 5 BSCC 1990 23 40 80 60 BSCC BCC SCC 3 7 BCC 3 10mm SCC 6 10mm BSCC BCC SCC SCC 10mm BCC 10mm 10mm Mohs 6mm BSCC 10 mm Schuller 4 BSCC 12 Mohs 8 4 BSCC BCC BCC Mohs 31 31
耳展 小 54 1 林 賀 子 他 図 1 耳介局所所見 初診時所見 左耳甲介にびらん 痂皮付着 黒色化があり 易出血性であった 再診時所見 皮膚の欠損 軟骨の露出 中心部に肉芽 周囲にびらんや黒色化 疼痛 出血がみられた 図 2 再診時病理所見 H E 染色 N/C 比の高い細胞が大小多数の不規則な胞巣を形成し 辺縁に核の柵状配列が存在していた 軟骨へ の浸潤があった 基底細胞癌と診断した 図 3 頸部造影 CT 左耳介から外耳道入口部にかけて造影効果のある境界 不明瞭な領域があり 一部耳下腺内への浸潤を疑った 矢印 32 32 図 4 術中所見 腫瘍摘出後 耳下腺浅葉を合併切除した 欠損部を側 頭筋弁で充填した 摘出部位を黒枠で示す
sosqumous cell crcinom 1 54 1 1 Lund HZ Tumors of the skin. Atls of tumor pthology. Arned Forces Institute of Pthology, Wshington, 1957, 234 235. 2 Tlot S, Hitchcock B Incomplete primry excision of cutneous sl nd squmous cell crci 5 H E SCC BCC 6 1 sosqumous cell crcinom 2 3 4. Mohs 5 33 33
54 1 noms in the By of Plenty. N Z Med J 23 117, 2004. 3 Mrtin RC 2nd, Edwrds MJ, Cwte TG, Sewell CL, McMsters KM Bsosqumous crcinom nlysis of prognostic fctors influencing recurrence. Cncer 88 1365 1369, 2000. 4 Schuller DE, Berg JW, Shermn G, Kruse CJ Cutneous sosqumous crcinom of the hed nd neck comprtive nlysis. Otolryngol Hed Neck Surg 87 420 427, 1979. 5 Bowmn PH, Rtz JL, Knoepp TG, Brnes CJ, Finley EM Bsosqumous crcinom. Dermtol Surg 29 830 832, 2003. 6 Borel DM : Cutneous sosqumous crcinom. Review of the literture nd report of 35 cses. Arch Pthology 95 293 297, 1973. 7 2007 46 47 67 69. 8 Leiovitch I, Huilgol SC, Selv D, Richrds S, Pver R Bsosqumous crcinom. tretment with Mohs microgrphic surgery. Cncer 104 170 175, 2005. 9 sosqumous cell crcinom 1 Skin Cncer 23 17 21, 2008. Summry ACASE REPORT OF BASOSQUAMOUS CELL CARCINOMA ORIGINATING IN THE AURICLE Noriko Koyshi, MD Deprtment of Otorhinolryngology, Kosei Chuo Hospitl Akir Shimizu, MD Koichi Kitmur, MD Yoichi Iimur, MD Hiroyuki Ito, MD Mmoru Suzuki, MD Deprtment of Otorhinolryngology, Tokyo Medicl University Bsosqumous cell crcinom BSCC is rre mlignnt skin tumor, with histologicl fetures of oth sl cell crcinom BCC nd squmous cell crcinom SCC. It is difficult to dignose BSCC efore surgery. The recurrence rte of BSCC fter surgery is high, since the surgicl mrgin frequently shows the fetures of BCC. We present cse of BSCC originting in the uricle. The ptient ws dignosed s hving BCC invding the crtilge efore the opertion. We performed n opertion indicted for invsive crcinom. At present, 2 yers since the opertion, the ptient remins live nd without disese. Key words sosqumous cell crcinom, uricle, sl cell crcinom, squmous cell crcinom 23 2 3 160 0023 6 7 1 03 3342 6111 34 34