Bourguignat E, Laccourreye O, Brasnu D, Laccourreye H
Service d'ORL, Chirurgie Cervico-Faciale, Hôpital Laennec, Paris.
Ann Otolaryngol Chir Cervicofac. 1991;108(1):17-20.
The authors report 7 cases of adenoid cystic carcinoma arising in the parotid gland between 1969 and 1990. All patients underwent surgery. Radiotherapy was performed twice following surgery. Local failure, nodal failure and distant metastasis are analyzed. Death appears to be related mainly to local failure. Radiotherapy does not seem to improve the local control obtained by surgery alone. Surgery must then be total and if necessary mutilating. Radiotherapy associated to surgery might be useful in case of extensive tumors for which complete eradication is not possible. A review of the world literature is performed.
作者报告了1969年至1990年间发生于腮腺的7例腺样囊性癌。所有患者均接受了手术治疗。术后进行了两次放疗。分析了局部复发、淋巴结转移和远处转移情况。死亡似乎主要与局部复发有关。放疗似乎并未改善单纯手术所获得的局部控制效果。因此手术必须彻底,必要时甚至需进行致残性手术。对于无法完全切除的广泛性肿瘤,手术联合放疗可能会有帮助。本文还对世界文献进行了综述。