Abstract:

Alveolar soft part sarcoma (ASPS) is a rare malignant soft tissue tumor, and is more common in adolescents, and occurs in the limbs and trunk. The ASPS primarily occurring in the tongue is even rarer. The article reports one patient with tongue ASPS who admitted to the Binzhou Medical University Hospital on November 23, 2022. The patient had dysphonia as the main symptom, and the imaging diagnosis tended to hemangioma. After surgical resection, the pathological manifestation was ASPS, and no recurrence was found after 6 months' follow-up after the operation. Tongue ASPS is often misdiagnosed as benign tumors such as hemangioma due to its non-specific clinical manifestations and rare location, thus delaying treatment. Therefore, clinicians should strengthen their understanding of the clinical manifestations and pathological diagnosis of tongue ASPA patients to avoid misdiagnosis and missed diagnosis.

Key words:

Alveolar soft part sarcoma, Tongue, Pathological features, Clinical manifestations, Case report

摘要：

腺泡状软组织肉瘤（ASPS）是一种罕见的恶性软组织肿瘤，青少年多见，病变好发于四肢深部和躯干，原发于舌部的ASPS更为罕见。本文报道1例舌部ASPS患者，于2022年11月23日就诊于滨州医学院附属医院，患者以发音困难为主要症状，影像诊断倾向血管瘤。手术切除后病理镜下表现为典型ASPS，术后复查并随访6个月余未见复发。可见，由于其非特异性的临床表现和罕见部位，舌部ASPS常被误诊为血管瘤等良性肿瘤，从而延误治疗。因此，临床医师对舌部ASPS患者的临床表现和病理诊断需加强认识，避免误诊、漏诊。

关键词:

腺泡状软组织肉瘤, 舌, 病理特征, 临床表现, 病例报告