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腮腺硬化性多囊性腺病:诊断与治疗。

Sclerosing polycystic adenosis of the parotid gland: diagnosis and management.

机构信息

Escartons Hospital, Briançon, France.

出版信息

Eur Ann Otorhinolaryngol Head Neck Dis. 2010 Mar;127(1):20-2. doi: 10.1016/j.anorl.2010.02.005. Epub 2010 Mar 24.

DOI:10.1016/j.anorl.2010.02.005
PMID:20822751
Abstract

OBJECTIVE

To describe diagnostic and therapeutic management of a rare parotid lesion: sclerosing polycystic adenosis.

PATIENT AND METHOD

We report a case of persistent right intraparotid tumefaction.

RESULTS

A 68-year-old man was referred with a right parotid nodule of 2 years' evolution. Cytology diagnosed pleomorphic adenoma, verified on MRI. Conservative subtotal parotidectomy diagnosed sclerosing polycystic adenosis. Over 1 year's regular follow-up, there were no signs of local recurrence.

CONCLUSION

Sclerosing polycystic adenosis of the parotid gland is a rare and recently described entity presenting several analogies to the much more frequent cystic mastitis. Although benign and well-delimited, it requires complete exeresis of the parotid, due to a non-negligible risk of recurrence.

摘要

目的

描述一种罕见腮腺病变(硬化性多囊性腺病)的诊断和治疗管理方法。

患者与方法

我们报告了一例持续性右腮腺肿块的病例。

结果

一名 68 岁男性因右侧腮腺结节就诊,病程为 2 年。细胞学诊断为多形性腺瘤,MRI 证实。保守性腮腺次全切除术诊断为硬化性多囊性腺病。经过 1 年的定期随访,无局部复发迹象。

结论

腮腺硬化性多囊性腺病是一种罕见的、最近描述的疾病,与更为常见的囊性乳腺炎有许多相似之处。虽然是良性且界限清楚的,但由于复发风险不可忽视,因此需要完全切除腮腺。

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