Bień Stanisław, Kamiński Bartłomiej, Kopczyński Janusz, Sygut Jacek
Dział Otolaryngologii Chirurgii Głowy i Szyi Swietokrzyskiego Centrum Onkologii w Kielcach.
Otolaryngol Pol. 2006;60(5):703-8.
Ipsilateral salivary gland tumors of different histological types are very rare. Out of 196 parotidectomies performed (from 03. 2001 to 12. 2005), in 6 (3.06%) cases synchronous tumors of different type has been found in pathologic specimens. In 5 cases pleomorphic adenoma was one of synchronous tumor--in 2 cases with adenocarcinoma and in single cases with salivary duct carcinoma, adenolymphoma, and myoepithelioma. In one case, the adenolymphoma was synchronous with carcinoma planoepitheliale metastaticum from the primary in the skin post auricular area (late metastasis). Following the review of literature concerning the problem, two concepts has been critically discussed--the real synchronous occurrence of two different tumors, and transformation of benign tumor of salivary neoplasm to its malignant form.
不同组织学类型的同侧涎腺肿瘤非常罕见。在196例腮腺切除术(2001年3月至2005年12月)中,病理标本发现6例(3.06%)为不同类型的同步肿瘤。5例中多形性腺瘤是同步肿瘤之一——2例与腺癌同步,单例与涎腺导管癌、腺淋巴瘤和肌上皮瘤同步。1例中,腺淋巴瘤与耳后皮肤原发灶的扁平上皮癌转移性癌同步(晚期转移)。在回顾有关该问题的文献后,对两个概念进行了批判性讨论——两种不同肿瘤的真正同步发生,以及涎腺肿瘤良性肿瘤向恶性形式的转变。