Yang C H, Liu T K, Lu S Y, Eng H L
Chang Gung Memorial Hospital, Kaohsiung, Department of Dentistry, Taipei Medical College Hospital, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1990 Dec;13(4):322-35.
Warthin's tumor is an unusual benign salivary gland tumor. It is predominantly found in Caucasians and is rare in non-Caucasians. The chief affected area of the tumor is the parotid gland. Of all salivary gland neoplasms, Warthin's tumor is the only lesion which is truly multicentric so it may have a second primary lesion, not a recurrence. The peak incidence is in the sixth decade of life. In sexual distribution, there is a male predominance but the incidence of female is progressively increasing. According to Lemelas's study, the increase in female incidence may relate to the increasing population of cigarette smoking of women. Bilateral parotid gland involvement is uncommon. The chief treatment of the tumor is surgical excision. The surgical methods include enucleation, superficial parotidectomy, total parotidectomy. It is very important to protect the facial nerves from injury during surgery. In this paper, we report a case of bilateral metachronous Warthin's tumors with cystic degeneration of parotid glands in a Chinese. Other than literature review and case report, four different methods to protect facial nerves from injury were briefly described.
沃辛瘤是一种少见的涎腺良性肿瘤。它主要见于白种人，在非白种人中罕见。肿瘤的主要受累部位是腮腺。在所有涎腺肿瘤中，沃辛瘤是唯一真正多中心性的病变，因此它可能有第二个原发灶，而非复发。发病高峰在60岁。在性别分布上，男性居多，但女性发病率在逐渐上升。根据莱梅拉斯的研究，女性发病率的增加可能与女性吸烟人数的增加有关。双侧腮腺受累并不常见。肿瘤的主要治疗方法是手术切除。手术方法包括剜除术、腮腺浅叶切除术、腮腺全切除术。手术中保护面神经免受损伤非常重要。在本文中，我们报告了1例中国人双侧异时性沃辛瘤伴腮腺囊性变的病例。除文献复习和病例报告外，还简要描述了4种保护面神经免受损伤的不同方法。
