The relationship between pleomorphic adenocarcinoma and dermatomyositis（with a case report and review of the literatures）
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摘要: 目的:提高对多形性腺癌的认识,其存在并发皮肌炎的可能,探讨2种疾病之间是否存在一定关系。方法:报告1例咽旁间隙多形性腺癌并发皮肌炎的患者。明确住院期间对这两种疾病的诊断及治疗方式。回顾相关临床文献,进行归纳和文献复习。结果:该患者行腮腺浅叶部分切除术治疗后,术后病检及免疫组织化学检查明确多形性腺癌诊断。同时皮肌炎病情有所好转。结论:多形性腺癌存在并发皮肌炎的可能,容易漏诊。两者在自身免疫机制上可能存在关系。Abstract: Objective: The purpose of this article is to improve the understanding of complications of pleomorphic adenocarcinoma, and the possibility of complicated with dermatomyositis. In order to explore whether there is a certain relationship between the two diseases.Method: Reported one patient in our hospital with the diagnosis of pleomorphic adenocarcinoma complicated dermatomyositis, and clarified the diagnosis and treatment of these two diseases during hospitalization. Reviewed the latest clinical literature relevant to pleomorphic adenocarcinoma and dermatomyositis.Conclusion: The patients underwent superficial parotidectomy treatment. The postoperation pathologic and immunohistochemical examination confirmed the diagnosis of pleomorphic adenocarcinoma. Dermatomyositis improved better after the operation.Conclusion: Pleomorphic adenocarcinoma has the possibility of complicated with dermatomyositis which may misdiagnosis in clinical practice. Summarize the latest diagnosis progress of pleomorphic adenocarcinoma and the surgical treatment of the tumor. Also discuss the standards of clinical diagnosis and treatment of dermatomyositis. Analysis there may be a relationship between the two diseases on autoimmune mechanism.
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Key words:
- pleomorphic adenocarcinoma /
- dermatomyositis
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