Giger Roland, Mhawech Paulette, Marchal Francis, Lehmann Willy, Dulguerov Pavel
Department of Oto-Rhino-Laryngology and Head and Neck Surgery, University Hospital of Geneva, Rue Micheli-du-Crest 24, 1211 Geneva 14, Switzerland.
Head Neck. 2005 Sep;27(9):829-33. doi: 10.1002/hed.20230.
Mucoepidermoid carcinoma of Stensen's duct is a rare neoplasm, with only five cases reported in the literature.
We report another case of mucoepidermoid carcinoma of Stensen's duct and review the literature.
Stensen's duct neoplasms tend to be symptomatic at an early stage by causing an obstruction of the parotid duct. New imaging techniques such as MR sialography and sialoendoscopy are very helpful in diagnosis and patient management.
Although the rarity of this condition prevents definitive conclusions about the optimal treatment, we propose that Stensen's duct neoplasms should be treated like similar neoplasms occurring in the parotid gland tissue, taking into consideration clinical stage, tumor grade, and surgical margins.
腮腺主导管黏液表皮样癌是一种罕见的肿瘤,文献中仅报道过5例。
我们报告了另一例腮腺主导管黏液表皮样癌病例并对文献进行了回顾。
腮腺主导管肿瘤往往在早期因导致腮腺导管阻塞而出现症状。诸如磁共振涎管造影和涎腺内镜检查等新的成像技术对诊断和患者管理非常有帮助。
尽管这种疾病的罕见性使得无法就最佳治疗得出明确结论,但我们建议,对于腮腺主导管肿瘤,应像对待发生于腮腺组织的类似肿瘤一样进行治疗,同时考虑临床分期、肿瘤分级和手术切缘情况。