Barabás József, Bogdán Sándor, Suba Zsuzsanna, Szabó György, Lukáts Olga, Decker Iván, Huszár Tamas
Semmelweis Egyetem, Fogorvostudományi Kar, Arc-, Allcsont-, Szájsebészeti és Fogászati Klinika, Budapest.
Orv Hetil. 2006 Apr 30;147(17):807-10.
The authors describe the diagnostic problems and difficulties of treatment of Warthin's tumor combined with actinomycosis. A 48-year-old woman was presented with a mass in the left parotid region and paresis of the lower left palpebra. The CT, echography, parotid X-ray findings supposed a neoplasm of the left parotid gland which was proved by intraoperative freezing histology. The ramus of the mandible was involved in the process. Total parotidectomy and partial mandiblectomy were performed, with sacrifice of the facial nerve, followed by nerve reconstruction. The final histological evaluation was Warthin's tumor with actinomycosis. Eight years after treatment the patient is free of disease.
作者描述了沃辛瘤合并放线菌病的诊断问题及治疗难点。一名48岁女性，表现为左腮腺区肿物及左眼下睑轻瘫。CT、超声及腮腺X线检查结果提示左腮腺肿瘤，术中冰冻组织学检查证实了这一诊断。下颌骨升支也受累。行全腮腺切除术及部分下颌骨切除术，牺牲面神经，随后进行神经重建。最终组织学评估为沃辛瘤合并放线菌病。治疗8年后患者无病生存。
