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腮腺肿瘤:单机构 600 例患者分析。

Parotid neoplasms: analysis of 600 patients attended at a single institution.

机构信息

Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Brazil.

出版信息

Braz J Otorhinolaryngol. 2009 Jul-Aug;75(4):497-501. doi: 10.1016/s1808-8694(15)30486-9.

Abstract

UNLABELLED

Salivary gland tumors are rare, generally benign and affect mainly the parotid gland.

AIM

The purpose of this study was to retrospectively analyze all cases of parotid tumors treated at our institution from 1953 to 2003.

METHODS

All patients with primary parotid tumors were selected; clinical and histopathological data were analyzed and described.

RESULTS

600 cases of parotid tumors were selected; 369 were benign and 231 were malignant. Pleomorphic adenoma was the most frequent benign tumor. The most common malignant tumor was the mucoepidermoid carcinoma. Therapy in most cases consisted of parotidectomy. Adjuvant therapy -- mainly radiotherapy -- was used in some cases with malignant tumors. The incidences of local, regional and distant recurrences of malignant tumors were 10%, 8% and 9%.

CONCLUSION

Patients with parotid tumors treated at our institution were mainly adults, with marginally more female patients. Benign tumors were mostly the pleomorphic adenoma, which were more frequent than malignancies. Most of the patients were treated by partial or total parotidectomy. Adjuvant therapy, mainly radiotherapy, was used in selected malignant cases.

摘要

未注明

唾液腺肿瘤罕见,一般为良性,主要影响腮腺。

目的

本研究回顾性分析了 1953 年至 2003 年我院治疗的所有腮腺肿瘤病例。

方法

选择所有原发性腮腺肿瘤患者;分析并描述临床和组织病理学数据。

结果

选择了 600 例腮腺肿瘤患者;369 例为良性,231 例为恶性。多形性腺瘤是最常见的良性肿瘤。最常见的恶性肿瘤是黏液表皮样癌。大多数病例的治疗方法是腮腺切除术。一些恶性肿瘤病例采用辅助治疗——主要是放疗。恶性肿瘤局部、区域和远处复发的发生率分别为 10%、8%和 9%。

结论

我院治疗的腮腺肿瘤患者主要为成年人,女性略多于男性。良性肿瘤多为多形性腺瘤,比恶性肿瘤更为常见。大多数患者接受了腮腺部分或全部切除术。在选择的恶性病例中,采用辅助治疗,主要是放疗。

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Arch Otolaryngol Head Neck Surg. 2004 Feb;130(2):174-80. doi: 10.1001/archotol.130.2.174.
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Prognostic indicators for malignant tumours of the parotid gland.
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