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儿童腮腺肿瘤的临床特征:单一机构的10年经验

Clinical features of pediatric parotid tumors: 10-year experience of a single institute.

作者信息

Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul

机构信息

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital , Hwasun , South Korea.

出版信息

Acta Otolaryngol. 2013 Nov;133(11):1213-8. doi: 10.3109/00016489.2013.822554. Epub 2013 Aug 16.

Abstract

CONCLUSIONS

Parotidectomy remains the mainstay of treatment for both benign and malignant lesions of the pediatric parotid gland. Adjuvant radiation therapy should be used judiciously in pediatric patients due to the higher risk of post-irradiation complications.

OBJECTIVE

The purpose of this study was to define the incidence and treatment of pediatric parotid tumors, and to determine what factors are useful in the management of these lesions.

METHODS

From June 2002 to June 2012, 22 patients ≤18 years of age with parotid mass were treated at Chonnam National University Hospital. Information on patient characteristics, clinical and histopathologic tumor characteristics, and treatment modalities and their results was obtained from the medical records.

RESULTS

The 22 patients comprised 11 males and 11 females. Eighteen patients had a benign tumor and four patients had a malignant tumor. The most common benign tumor was pleomorphic adenoma (63.6%) and the most common malignant tumor was mucoepidermoid carcinoma (9%). The most common treatment was superficial parotidectomy. Three patients required adjuvant radiotherapy. None of the patients had major complications or facial nerve palsy.

摘要

结论

腮腺切除术仍然是小儿腮腺良性和恶性病变的主要治疗方法。由于放疗后并发症风险较高,小儿患者应谨慎使用辅助放疗。

目的

本研究的目的是确定小儿腮腺肿瘤的发病率和治疗方法,并确定哪些因素有助于这些病变的管理。

方法

2002年6月至2012年6月,全南国立大学医院治疗了22例年龄≤18岁的腮腺肿块患者。从病历中获取患者特征、临床和组织病理学肿瘤特征以及治疗方式及其结果的信息。

结果

22例患者中,男性11例,女性11例。18例患者患有良性肿瘤,4例患者患有恶性肿瘤。最常见的良性肿瘤是多形性腺瘤(63.6%),最常见的恶性肿瘤是黏液表皮样癌(9%)。最常见的治疗方法是浅叶腮腺切除术。3例患者需要辅助放疗。所有患者均未出现严重并发症或面神经麻痹。

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