Touquet R, Mackenzie I J, Carruth J A
St. Mary's Hospital, London.
Br J Oral Maxillofac Surg. 1990 Dec;28(6):404-8. doi: 10.1016/0266-4356(90)90040-r.
The objective of treatment of a parotid pleomorphic adenoma is to remove all tumour cells with minimal short- and long-term morbidity and minimal recurrence rates. If an enucleation is carried out, the facial nerve may be put at risk and tumour fragments will inevitably be left in the wound. Most surgeons suggest that after enucleation, radiotherapy must be given to reduce the recurrence rate to an acceptable level. If during a formal superficial parotidectomy the tumour capsule is visualised, the objective of removing the tumour with an intact cuff of normal tissue has failed and the operation has in effect become an enucleation. This paper defines the problem and discusses its management.
腮腺多形性腺瘤的治疗目标是在将短期和长期发病率降至最低且复发率最小的情况下，切除所有肿瘤细胞。如果进行剜除术，面神经可能会面临风险，并且肿瘤碎片将不可避免地留在伤口中。大多数外科医生建议，剜除术后必须进行放疗，以将复发率降低到可接受的水平。如果在正式的浅叶腮腺切除术中看到肿瘤包膜，那么通过完整的正常组织袖带切除肿瘤的目标就失败了，实际上手术就变成了剜除术。本文明确了该问题并讨论了其处理方法。
