Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지

Squamous cell carcinoma in the submandibular space

악하선 부위에 발생한 편평세포암종

  • An Byung-Mo (Department of Oral and Maxillofacial Radiology & Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Lee Sam-Sun (Department of Oral and Maxillofacial Radiology & Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Heo Min-Suk (Department of Oral and Maxillofacial Radiology & Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Choi Hyun-Bae (Department of Oral and Maxillofacial Radiology & Dental Research Institute, College of Dentistry, Seoul National University) ;
  • Choi Soon-Chul (Department of Oral and Maxillofacial Radiology & Dental Research Institute, College of Dentistry, Seoul National University)
  • 안병모 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 이삼선 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 허민석 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 최현배 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소) ;
  • 최순철 (서울대학교 치과대학 구강악안면방사선학교실 및 치학연구소)
  • Published : 2001.06.01
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Abstract

A 66-year-old man visited author's institute complaining of the swelling on the submandibular gland area. Clinically, the exophytic mass penetrated the skin of the submandibular area. On MRI, the lesion occupied the left submandibular space and extended downward, protruding exterior to the subcutaneous fat layer, but the center of the lesion was located on the side of the skin and the growth exterior to the skin was prominent. Demarcation of the lesion and the submandibular gland was unclear. Histopathologically the epithelial nests and keratin production were seen, then the biopsy result was squamous cell carcinoma. The stroma of lesion showed a myxoid characteristic and some ducts showed metaplasia of the ductal cells, which suggested the gland-origin carcinoma. However, lots of keratin production and carcinomatous change of cells continuous to the normal epithelium of the skin, the skin-origin carcinoma invading into the submandibular gland area could not be excluded.

Keywords