Van Lierop Anton C, Fagan Johannes J
Division of Otolaryngology, University of Cape Town.
S Afr J Surg. 2007 Aug;45(3):96-8, 100, 102-3.
The spectrum of parotid disease in southern Africa has not previously been reported.
A review of all parotidectomies performed by a single surgeon over a period of 10 years (1994 - 2004) in Cape Town, South Africa, is presented. Data were collected from a retrospective chart review.
One hundred and ninety-nine parotidectomies were performed and 196 pathology reports were reviewed. Pleomorphic adenoma was the most common benign tumour and metastatic cutaneous squamous cell carcinoma (SCC) was the most common malignancy. Warthin's tumour had an equal gender distribution. Forty-five per cent of parotid tumours in males were malignant. The sensitivity, specificity and accuracy of fine-needle aspiration cytology (FNAC) in diagnosing malignancy were 73%, 98% and 94% respectively.
In South African males almost half of parotid tumours are malignant. Warthin's tumours are less common in Africa than in the West, and did not show a male preponderance. FNAC is a highly reliable method of excluding malignancy.
此前尚未报道过非洲南部腮腺疾病的情况。
对南非开普敦一位外科医生在10年期间（1994 - 2004年）所做的所有腮腺切除术进行回顾。数据通过回顾性病历审查收集。
共进行了199例腮腺切除术，并审查了196份病理报告。多形性腺瘤是最常见的良性肿瘤，转移性皮肤鳞状细胞癌是最常见的恶性肿瘤。沃辛瘤的性别分布相同。男性腮腺肿瘤中45%为恶性。细针穿刺细胞学检查（FNAC）诊断恶性肿瘤的敏感性、特异性和准确性分别为73%、98%和94%。
在南非男性中，几乎一半的腮腺肿瘤是恶性的。沃辛瘤在非洲比在西方少见，且未表现出男性居多的情况。FNAC是排除恶性肿瘤的高度可靠方法。
