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腮腺脂肪瘤从浅叶延伸至深叶:一种罕见情况。

Lipoma of the parotid gland extending from the superficial to the deep lobe: a rarity.

作者信息

Debnath Subhas Chandra, Saikia Antara

机构信息

Department of Oral & Maxillofacial Surgery, Regional Dental College, Indrapur, Guwahati, India.

出版信息

Br J Oral Maxillofac Surg. 2010 Apr;48(3):203-4. doi: 10.1016/j.bjoms.2009.07.028. Epub 2009 Nov 12.

Abstract

Lipoma of the parotid gland is a rare clinical entity. Because of the rarity, they are not often considered in the differential diagnosis of parotid tumors. Lipoma of the parotid gland constitutes around 3% of all parotid tumors. These are asymptomatic and occur both in the deep and the superficial lobe of the parotid.(1) The most favored age group is from the fifth to sixth decade of life and is 10 times more common in the males.(6) Lipoma extending from superficial to deep lobe of parotid gland has not been reported in the literature to our knowledge till date. A 56-year-old male patient, with this relatively rare parotid gland lipoma is reported in this article; it was managed by conservative superficial parotidectomy preserving facial nerve that, if performed correctly, excludes the possibility of any second attack.

摘要

腮腺脂肪瘤是一种罕见的临床病症。由于其罕见性,在腮腺肿瘤的鉴别诊断中通常不会经常考虑到它们。腮腺脂肪瘤约占所有腮腺肿瘤的3%。这些脂肪瘤通常无症状,可发生于腮腺的深叶和浅叶。(1)最常见的年龄组为50至60岁,男性发病率是女性的10倍。(6)据我们所知,迄今为止文献中尚未报道过脂肪瘤从腮腺浅叶延伸至深叶的情况。本文报道了一名56岁男性患者患有这种相对罕见的腮腺脂肪瘤;该患者接受了保留面神经的保守性浅叶腮腺切除术,若手术操作正确,则可排除二次发病的可能性。

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