Borowska Karolina, Pietniczka-Załeska Mirosława, Sołtys Justyna, Budzynowska Krystyna
Oddział Otolaryngologii Miedzyleski Szpital Specjalistyczny.
Otolaryngol Pol. 2009 Sep;63(7):80-2. doi: 10.1016/S0030-6657(09)70195-7.
The adenoma polymorphum is benign salivary glands tumor. The most common location of occurrence is the parotid followed by the minor salivary glands in which the palate, upper lip and buccal mucosa are most commonly affected. It is a demarcated from the surronding, painless, capsulated and slow growing mass. Microscopically these tumors are composed of varying proportions of epithelial and mesenchymal tissue. Treatment of adenoma polymorphum is complete surgical excision with a surronding margin of normal tissue. This procedure avoids local recurrence. In two years (2007-2009) In Otolaryngology Ward In Miedzyleski Szpiatl Specjalistyczny treated four patients with adenoma polymorphum localised out of salivary glands. The authors described two cases of tumor mixtus localised on soft palate and in external ear canal. The first is a 57-year old male presented a painless swelling over the palate of four months duration. Admitted to ENT Unit on april 2009. He denier dysphagia and dyspnoea. On examination there was a firm, circumscribed tumor of the palate in the right side. CT scans show a right soft palate well-defined mass. He underwent transoral surgical excision. Postoperative period was uneventful. Another case is 18-year old girl with progressive worsening of hearing .On examination external ear canal was blocked due to firm and round tumor on his upper wall. The tumor was excised In local anesthesia. During two years observation there was no evidence of local reccurence.
多形性腺瘤是涎腺良性肿瘤。最常见的发生部位是腮腺，其次是小涎腺，其中腭部、上唇和颊黏膜最常受累。它是一个与周围组织分界清楚、无痛、有包膜且生长缓慢的肿块。显微镜下，这些肿瘤由不同比例的上皮组织和间叶组织组成。多形性腺瘤的治疗方法是完整切除肿瘤并带有周围正常组织边缘。该手术可避免局部复发。在两年（2007 - 2009年）期间，在米德齐莱斯基·什皮亚特尔专科医院耳鼻喉科病房治疗了4例涎腺外多形性腺瘤患者。作者描述了2例分别位于软腭和外耳道的混合瘤病例。第一例是一名57岁男性，腭部出现无痛性肿胀4个月。于2009年4月入住耳鼻喉科。他否认吞咽困难和呼吸困难。检查发现右侧腭部有一个质地硬、边界清楚的肿瘤。CT扫描显示右侧软腭有一个边界清晰的肿块。他接受了经口手术切除。术后恢复顺利。另一例是一名18岁女孩，听力逐渐恶化。检查发现外耳道因上壁一个质地硬且呈圆形的肿瘤而堵塞。在局部麻醉下切除了肿瘤。在两年的观察期内，没有局部复发的迹象。
