腺样囊性癌最多见于腭部,原发于舌部者罕见。 宋某,男,58岁,广东籍人。因舌尖部肿痛一年余,肿物迅速长大两个月入院。病人既往身体健康,无特殊病史,吸烟,每天两包。入院查体全身无特殊发现。舌前2/3偏右侧可触及一4.5cm×3.0cm×3.0cm肿物,向左超过中线约1.0cm。肿物表面粘膜色泽正常,与4相对应处可见1.0cm×0.5cm溃疡面,表浅,黄白色假膜覆盖,无出血,无臭。肿物质硬,表面光滑,边界清楚,与口底组织及颌骨无粘连,活动度好。口底粘膜不红肿,柔软,双侧颌下腺导管口不红肿, Adenoid cystic carcinoma is most commonly seen in the sacral region and is rare in the tongue. Song, male, 58 years old, native of Guangdong. Due to swelling and pain in the tip of the tongue for more than a year, the tumor quickly grew up and was admitted to the hospital for two months. The patient was formerly healthy, had no special medical history, smoked, and had two packs per day. Admission examination body without special findings. A 4.5 cm x 3.0 cm x 3.0 cm mass can be reached on the right side of the tongue 2/3 to the right and about 1.0 cm to the left over the midline. The color of the mucosa on the surface of the tumor was normal, and a 1.0cm x 0.5cm ulceration surface was found corresponding to 4 spots. The surface was pale, yellow-white pseudomembrane covered, and there was no bleeding or odor. Swelling material is hard, the surface is smooth, the boundary is clear, there is no adhesion with the mouth floor tissue and jaw bone, and the activity is good. The mucous membrane of mouth floor is not swollen and soft, and the ducts of both submandibular glands are not swollen.