摘要
目的:探讨腮腺非涎腺源性肿物的诊断和治疗特点。方法:回顾性分析21例腮腺非涎腺源性肿物的临床表现、病理类型和治疗方法。结果:21例腮腺非涎腺源性肿物中9例(43%)淋巴结疾病,包括淋巴瘤、转移癌和结核病,5例(24%)肉芽肿性病变,4例(19%)神经源性肿瘤,2例(10%)血管瘤。多数患者行腮腺浅叶或部分腮腺加肿物切除术,癌转移到腺体实质的患者需大块切除。结论:腮腺非涎腺源性肿物较少,且多数为淋巴结疾病,术前诊断比较困难。治疗首选部分腮腺或腮腺浅叶加肿物切除。
Objective： To analyze the clinical and therapeutical characteristics of the non-salivary mass in the parotid gland. Method： 21 patients with non-salivary mass in the parotid gland treated in Beijing hospital from January 1991 to December 2011 were reviewed. Result： 43 % （9/21） patients were involved in lymph node, including lymphoma, metastatic cancer, and tuberculosis. 24% （5/21） were granuloma, 19% （4/21） were neural tumor, and 10% （2/21） were angioma. Most of the patients had super-lobe or part parotidectomy and mass resected, patients with metastasis had block resection. Conclusions： Majority of the non-salivary mass in the parotid gland were diseases of lymph node. It was difficult to make a clear diagnosis before operation. The preliminary treatment of the mass was mass resection and partial or super-lobe parotidectomy.
出处
《中华老年口腔医学杂志》
2014年第1期20-22,共3页
Chinese Journal of Geriatric Dentistry
关键词
腮腺
淋巴瘤
转移癌
parotidgland
lymphoma
metastasis
