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1临床资料患者女,79岁,因腭部癌肉瘤术后1个月伴双颈部转移48d,于2011-10-18入院。患者于2008年9月确诊为左下颌唇颊侧黏膜高分化鳞癌,多次行手术切除及放化疗;2011年7月发现腭部肿物,病理诊断为中低分化鳞癌,8月发现右侧颈部肿物,行手术切除病理诊断为肉瘤样癌转移。患者口腔内外均有肿瘤快速生长,为避免误吸于2011年10月行气管切开治疗,置入成人型气管套管。颈部肿物继续增大,并向耳后及双侧蔓延,相
1 Clinical data Female, 79 years old, one month after palatal carcinosarcoma with double neck metastasis 48d, 2011-10-18 admission. Patients diagnosed in September 2008 as left mandibular buccal mucosa well-differentiated squamous cell carcinoma, multiple surgical resection and radiotherapy and chemotherapy; found in July 2011 palate tumor, the pathological diagnosis of poorly differentiated squamous cell carcinoma, found in August The right neck tumor, the surgical removal of the pathological diagnosis of sarcomatoid metastasis. Patients with rapid tumor growth both inside and outside the mouth, in order to avoid aspiration in October 2011 tracheotomy, into the adult tracheal tube. Neck tumor continues to increase, and to the ears and bilateral spread, phase