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.
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.
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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