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腭部多形性腺瘤

Pleomorphic adenoma of the palate.

作者信息

Clauser Luigi, Mandrioli Stefano, Dallera Vittorio, Sarti Elisabetta, Galiè Manilio, Cavazzini Luigi

机构信息

Unit of Cranio-Maxillofacial Surgery, St. Anna Hospital and the University of Ferrara, Ferrara, Italy.

出版信息

J Craniofac Surg. 2004 Nov;15(6):1026-9. doi: 10.1097/00001665-200411000-00029.

Abstract

Pleomorphic adenoma, is the most common tumor (50%) of the major and minor salivary glands. Seventy percent of the tumors of the minor salivary glands are pleomorphic adenomas, and the most common intraoral site is the palate, followed by the upper lip and buccal mucosa. Pleomorphic adenoma appears as a painless firm mass and, in most cases, does not cause ulceration of the overlying mucosa. Generally it is mobile, except when it occurs in the hard palate. Intraoral mixed tumors, especially those noted within the palate, lack a well-defined capsule. Lesions of the palate frequently involve periosteum or bone. Approximately 25% of benign mixed tumors undergo malignant transformation. Treatment for the pleomorphic adenoma is radical surgery. Inadequate resection leads to local recurrence. The authors report a palate pleomorphic adenoma in a 67-year-old female patient.

摘要

多形性腺瘤是大、小唾液腺最常见的肿瘤(占50%)。小唾液腺肿瘤的70%为多形性腺瘤,最常见的口腔内部位是腭部,其次是上唇和颊黏膜。多形性腺瘤表现为无痛性实性肿块,在大多数情况下,不会导致覆盖黏膜溃疡。一般来说它可活动,硬腭部发生时除外。口腔内混合瘤,尤其是腭部的混合瘤,缺乏完整的包膜。腭部病变常累及骨膜或骨质。约25%的良性混合瘤会发生恶变。多形性腺瘤的治疗方法是根治性手术。切除不彻底会导致局部复发。作者报告了一例67岁女性患者的腭部多形性腺瘤。

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