Andrews T, Kountakis S E, Maillard A A
Department of Otolaryngology--Head and Neck Surgery, University of Virginia Medical School, Charlottesville 22908, USA.
Am J Otolaryngol. 2000 May-Jun;21(3):184-9. doi: 10.1016/s0196-0709(00)85022-x.
Myxomas are rare, locally infiltrative, benign, connective tissue tumors that are found in bone and somatic soft tissues. This article reports our experience with head and neck myxomas and provides a comprehensive literature review.
Retrospective record review of head and neck myxoma cases seen at 2 tertiary referral centers in Houston, Texas, from 1970 to 1994. Comprehensive literature review and compilation of all myxomas reported in the head and neck.
We identified 7 cases of true head and neck myxoma treated in our centers and identified 169 cases reported in the literature. Most often, myxomas originated in bone (mandible or maxilla) and were most commonly found in adults. All tumors except 1 were treated surgically. Recurrence rates were 6% for local or wide excision and 28% for more conservative surgery such as enucleation or curretage.
Myxomas of the head and neck should be treated with complete excision of the tumor with clear margins.
黏液瘤是一种罕见的、具有局部浸润性的良性结缔组织肿瘤，可发生于骨骼和体部软组织。本文报告我们治疗头颈部黏液瘤的经验，并进行全面的文献综述。
对1970年至1994年在得克萨斯州休斯敦的2家三级转诊中心诊治的头颈部黏液瘤病例进行回顾性记录分析。对头颈部黏液瘤的所有文献进行全面综述和汇总。
我们在本中心确诊7例头颈部真性黏液瘤，并在文献中查到169例报道。黏液瘤最常起源于骨骼（下颌骨或上颌骨），且多见于成年人。除1例肿瘤外，其余均接受了手术治疗。局部或广泛切除后的复发率为6%，而刮除术或剜除术等更保守的手术复发率为28%。
头颈部黏液瘤的治疗应完整切除肿瘤并确保切缘阴性。
