Mantsopoulos Konstantinos, Psychogios Georgios, Agaimy Abbas, Künzel Julian, Zenk Johannes, Iro Heinrich, Bohr Christopher
Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
Head Neck. 2015 Jan;37(1):23-9. doi: 10.1002/hed.23541. Epub 2014 Feb 1.
The purpose of this study was to evaluate our experience in the diagnostic approach to inflamed benign tumors of the parotid gland at a single tertiary center.
A retrospective evaluation was carried out for all patients with signs of inflammation in the parotid gland on the ground of a benign parotid tumor, as confirmed by permanent histology.
Sixteen patients were detected for our study. Histopathologic examination confirmed cystadenolymphoma in 11 cases (with metaplastic changes in 2 cases), 2 pleomorphic adenomas, 2 monomorphic adenomas, and 1 oncocytic cystadenoma. Diverse clinical signs (inflammation signs, facial palsy), ultrasound and MRI findings (poorly defined lesion margins), and the presence of squamous metaplastic changes on cytology often raised the suspicion of parotid malignancy or abscess.
In most cases, a high suspicion index combined with close monitoring of the patient may allow prompt and successful diagnosis and therapy.
本研究的目的是评估我们在一家三级中心对腮腺炎性良性肿瘤的诊断方法的经验。
对所有经永久性组织学证实为腮腺良性肿瘤且有腮腺炎症迹象的患者进行回顾性评估。
本研究共检测出16例患者。组织病理学检查确诊为腺淋巴瘤11例（其中2例有化生改变），多形性腺瘤2例，单形性腺瘤2例，嗜酸性细胞囊腺瘤1例。各种临床体征（炎症体征、面神经麻痹）、超声和MRI表现（病变边界不清）以及细胞学检查中鳞状化生改变的存在常引起对腮腺恶性肿瘤或脓肿的怀疑。
在大多数情况下，高度的怀疑指数结合对患者的密切监测可实现快速且成功的诊断与治疗。
