Ferreira Pedro Costa, Amarante José Manuel, Rodrigues Jorge Manuel, Pinho Carlos José, Cardoso Maria Augusta, Reis Jorge Cruz
Service of Plastic, Reconstructive and Aesthetic Surgery, Hospital de São João, Oporto Medical School, Portugal.
Int Surg. 2005 Jul-Aug;90(3):160-6.
Tumors of the parotid gland are uncommon. We performed a retrospective study to analyze the clinical, diagnostic, and therapeutic features of a group of patients. We reviewed the clinical and the surgical records of a series of 109 patients who were recommended for surgery because of parotid tumors by the Plastic and Reconstructive Service of São João Hospital, Portugal, between 1990 and 2002. The following parameters were evaluated: age, sex, gland afflicted, symptoms, and duration of symptoms, diagnostic procedures, treatment methods, follow-up, and recurrences. Pleomorphic adenoma was the most common tumor (63.5%). In the majority of cases, fine-needle aspiration cytology was used. Swelling was the most frequent clinical finding. In 68.2%, superficial parotidectomy was performed. There were five cases of permanent facial palsy, and 10 patients developed Frey's syndrome. Recurrent disease was seen in six patients. For the majority of tumors, superficial parotidectomy is an effective treatment with acceptable morbidity.
腮腺肿瘤并不常见。我们进行了一项回顾性研究，以分析一组患者的临床、诊断和治疗特征。我们回顾了1990年至2002年间葡萄牙圣若昂医院整形与重建科因腮腺肿瘤而建议接受手术的109例患者的临床和手术记录。评估了以下参数：年龄、性别、受累腺体、症状、症状持续时间、诊断程序、治疗方法、随访和复发情况。多形性腺瘤是最常见的肿瘤（63.5%）。在大多数病例中，采用了细针穿刺细胞学检查。肿胀是最常见的临床发现。68.2%的患者进行了浅叶腮腺切除术。有5例出现永久性面瘫，10例患者出现了味觉出汗综合征。6例患者出现疾病复发。对于大多数肿瘤来说，浅叶腮腺切除术是一种有效的治疗方法，其发病率可以接受。
