Kühn U, Köhler H H, Jecker P
Hals-Nasen-Ohren-Klinik der Johannes-Gutenberg-Universität Mainz.
HNO. 2003 May;51(5):417-20.
Tumors of the parotid gland can be benign or malignant lesions.The pathophysiology of rare tumors of the parotid gland is often not sufficiently explored in this paper two rare histological entities are described. In one patient a benign sebaceous lymph-adenoma was histologically diagnosed. This type of tumor accounts for only 0.196 of all adenomas. The international literature is not conclusive about whether the tumor originates in the parotid gland itself or in the parotid lymph nodes. The second patient presented with a metastasis from a glioblastoma in the parotid gland. Again, the mechanism for metastasis of an intra-cerebral tumor to the parotid gland remains unknown. Iatrogenic seeding during a neurosurgical intervention is a probable explanation. The actual clinical course of his patient and the cases described in literature render surgical removal of such a metastasis questionable.
腮腺肿瘤可以是良性或恶性病变。腮腺罕见肿瘤的病理生理学在本文中通常未得到充分探讨,本文描述了两种罕见的组织学类型。一名患者经组织学诊断为良性皮脂腺淋巴腺瘤。这种肿瘤类型仅占所有腺瘤的0.196。关于该肿瘤是起源于腮腺本身还是腮腺淋巴结,国际文献尚无定论。第二名患者表现为腮腺内胶质母细胞瘤转移。同样,脑内肿瘤转移至腮腺的机制仍不清楚。神经外科手术干预期间的医源性播散是一种可能的解释。该患者的实际临床病程以及文献中描述的病例使得手术切除这种转移瘤存在疑问。