摘要
目的了解口腔颌面部肿瘤、囊肿与瘤样病变的临床病理情况及构成特点。方法分析在本院口腔颌面外科住院首诊且经病理确诊的口腔颌面部肿瘤、囊肿和瘤样病变9 056例,按其性质、组织类型、性别及部位等进行回顾性统计分析。结果口腔颌面部肿瘤6 337例,囊肿2 363例,瘤样病变356例。肿瘤中良性占56.7%(3 596/6 337),恶性占43.3%(2 747/6 337);良性肿瘤常见的依次为多形性腺瘤、血管瘤和成釉细胞瘤;恶性肿瘤中以癌最常见,占86.2%(2 367/2 747),尤其是鳞癌居癌中之首(50.0%,1 184/2 367,男女之比2.34∶1);好发部位依次为舌、牙龈、颊等。涎腺良、恶性肿瘤中分别以多形性腺瘤和腺癌多见,好发部位分别以腮腺、颌下腺、腭腺和腮腺、腭腺、颌下腺多见。牙源性和非牙源性囊肿中分别以含牙囊肿(33.9%,408/1 202)和舌下腺囊肿(41.1%,477/1 161)最多见。瘤样病变以牙龈瘤(54.8%,195/356)多见。结论口腔颌面部肿瘤、囊肿和瘤样病变中肿瘤最常见,其中良性肿瘤较恶性肿瘤多见,男性较女性多见。
Objective To investigate the proportions and features of tumors,cysts and tumor-like lesions in the oral- maxillofacial region. Methods 9 056 cases of primary tumors,cysts and tumor-like lesions in the oral-maxillofacial region which were confirmed by pathological diagnosis （from January 1955 to December 2006 at the Department of Oral and Maxillofacial Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University） were retrospectively analyzed about their clinical pathological features,histological types,gender proportions and primary locations. Results There were 6 337 cases of tumors, 2 363 cysts and 356 tumor-like lesions in the oral-maxillofacial region. Among the tumors,the benign tumor accounted 56.7% （3 596/6 337） while the malignant tumor took up 43. 3% （2 747/6 337）. Pleomorphic adenoma, hemangioma and ameloblastoma were the most common benign tumors. While the principle malignant tumor was carcinoma （86.2% ,2 367/2 747）,most of which were squamous cell carcinoma （50. 0%, 1 184/2 367）,majorly in tongue,gingiva and cheek, with a gender ratio of 2. 34 ： 1. Meanwhile, the most common benign and malignant salivary gland tumors were pleomorphic adenoma and adenocarcinoma,respectively,commonly sited in parotid gland,submandibular gland,palatine gland and parotid gland, palatine gland, submandibular gland, respectively. The dentigerous cyst （33. 9%, 408/1 202） and the sublingual gland cyst （41.1%, 477/1 161） were the most common types of the odontogenic cysts and non-odontogenic cysts in the oral-maxillofacial region separately. The most frequent tumor-like lesion was epulis （54. 8%, 195/356）. Conclusion Within this research,tumor is the most common lesion,with a number of begnin tumor more than malignant tumor,and the amount of male patients is larger than that of female patients with tumors,cysts or tumor-like lesions in the oral-maxillofacial region （261 words）.
出处
《实用肿瘤杂志》
CAS
2007年第6期532-535,共4页
Journal of Practical Oncology
关键词
颌面部肿瘤
瘤样病变
回顾性研究
jaw neoplasms
tumor-like lesion
retrospective studies
