Arslan Ilker Burak, Uluyol Sinan, Genc Selahattin, Eruyar Tugrul, Bulgurcu Suphi, Cukurova Ibrahim
Tepecik Training and Research Hospital Head & Neck Surgery Clinic, Izmir/Turkey.
Bosn J Basic Med Sci. 2014 Oct 3;14(4):250-3. doi: 10.17305/bjbms.2014.4.58.
Lipomas are common soft tissue neoplasms; however, they are found rarely in the parotid gland region. The purpose of this study was to analyze the diagnostic challenges of this rare condition. We performed a retrospective analysis of 11 patients with parotid lipomas, treated from November 2009 to February 2014. The mean age at diagnosis was 46.6 ± 2.9 years, and the study population included 8 males and 3 females. Computed tomography (CT) and/or magnetic resonance imaging (MRI) were performed in radiological diagnosis. Fine needle aspiration (FNA) was performed in all cases (including two times in five patients, for a total of 16 biopsies) and results were diagnostic in four instances. Specificities of the CT, MRI, and FNA cytology tests were 100%, 100%, and 25% respectively. CT and/or MRI scans were more reliable than FNA cytologies for accurate diagnosis of parotid lipomas.
脂肪瘤是常见的软组织肿瘤；然而，它们在腮腺区域很少见。本研究的目的是分析这种罕见情况的诊断挑战。我们对2009年11月至2014年2月期间接受治疗的11例腮腺脂肪瘤患者进行了回顾性分析。诊断时的平均年龄为46.6±2.9岁，研究人群包括8名男性和3名女性。在放射学诊断中进行了计算机断层扫描（CT）和/或磁共振成像（MRI）。所有病例均进行了细针穿刺抽吸（FNA）（包括5例患者进行了两次，共16次活检），其中4例结果具有诊断意义。CT、MRI和FNA细胞学检查的特异性分别为100%、100%和25%。对于腮腺脂肪瘤的准确诊断，CT和/或MRI扫描比FNA细胞学检查更可靠。
