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[涎腺多形性腺瘤的临床特征、诊断与治疗的若干问题]

[Some problems of clinical characteristics, diagnostics and treatment of pleomorphic adenoma of salivary glands].

作者信息

Stojnev I

出版信息

Stomatologiia (Sofiia). 1989 Sep-Oct;71(5):9-15.

PMID:2562771
Abstract

The author evaluates the clinical characteristics in the light of the concepts proceeding from the International histological classification of tumours of the salivary glands on the base of his own experience in the treatment of 208 patients with pleomorphic adenoma of the salivary glands. The existing hospital documentation of the treated patients was analyzed as well as a repeated evaluation of the histological diagnosis made during the treatment and control of the therapeutic results via periodical inquiry of the treated patients. The author confirms the ratified unified nomenclature of the International classification and the benign nature of the pleomorphic adenoma. In that aspect he defends the surgical treatment of the pleomorphic adenoma as the method of choice and the high diagnostic value of the urgent intraoperative histological study. He advances the thesis for the application of more radical methods in the surgical treatment of recurrent pleomorphic adenoma of the parotid gland. According to the author, the morphological characteristics of the pleomorphic adenoma have no effect on the choice of the surgical methods for the treatment of that tumour.

摘要

作者根据国际涎腺肿瘤组织学分类的概念,结合自己治疗208例涎腺多形性腺瘤患者的经验,对临床特征进行了评估。分析了已治疗患者的现有医院病历,并通过定期询问已治疗患者,对治疗期间的组织学诊断进行了再次评估,并对治疗结果进行了对照。作者确认了国际分类中已批准的统一命名法以及多形性腺瘤的良性性质。在这方面,他支持将多形性腺瘤的手术治疗作为首选方法以及紧急术中组织学研究的高诊断价值。他提出了在腮腺复发性多形性腺瘤的手术治疗中应用更激进方法的论点。作者认为,多形性腺瘤的形态学特征对该肿瘤治疗手术方法的选择没有影响。

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