Olszewski J, Zalewski P, Zieliński K, Sygut J, Jochymski C
Klinika Otolaryngologiczna Instytutu Chirurgii WAM w Lodzi.
Otolaryngol Pol. 2000;54(4):443-5.
The aim of the study was showed the case of patient aged 41 years, treated in the Otolaryngology Department of Military Medical Academy because of giant pleomorphic adenoma of the parotid gland with the malignancy features. After performed of the BAC of tumour, the CT of neck and the scintigraphy of salivary glands the patient qualified for operation. The tumour resected with capsule and the superficial lobe of the left parotid gland, conservating of function of the facial nerve. The histopathologic examination proved the mucoepidermoid carcinoma in the pleomorphic adenoma didn't infiltrate of capsule. After oncologic consultation the patient had not of complementary radiotherapy, because the operation was radical and the carcinoma had a low radiosensitivity. The above mentioned case confirms of the reports, that the pleomorphic adenoma can undergo of malignancy changes, however the gigantic tumour doesn't write off possibility of operating success.
该研究的目的是展示一名41岁患者的病例，该患者因患有具有恶性特征的腮腺巨大多形性腺瘤而在军事医学科学院耳鼻喉科接受治疗。在对肿瘤进行细针穿刺活检、颈部CT和唾液腺闪烁扫描后，该患者符合手术条件。肿瘤连同包膜及左腮腺浅叶一并切除，保留面神经功能。组织病理学检查证实多形性腺瘤中的黏液表皮样癌未侵犯包膜。经过肿瘤学会诊，患者未接受辅助放疗，因为手术是根治性的，且该癌的放射敏感性较低。上述病例证实了一些报道，即多形性腺瘤可发生恶性变化，然而巨大肿瘤并不排除手术成功的可能性。
