腮腺肿瘤：154例患者的回顾性研究
Parotid gland tumors: a retrospective study of 154 patients.
作者信息
Maahs Gerson Schulz, Oppermann Paula de Oliveira, Maahs Lucas Gerhard Peter, Machado Filho Geraldo, Ronchi André Dajori
机构信息
Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Division of Otorhinolaryngology, Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil.
出版信息
Braz J Otorhinolaryngol. 2015 May-Jun;81(3):301-6. doi: 10.1016/j.bjorl.2015.03.007. Epub 2015 Mar 30.
INTRODUCTION
Benign tumors of the parotid gland comprise the majority of salivary gland tumors.
OBJECTIVE
To review the clinical characteristics of parotid gland tumors submitted to surgical treatment by the same surgeon.
METHODS
Retrospective study with 154 patients who had parotid gland tumors. Clinical and histological data, type of surgery, and complications were assessed and described.
RESULTS
The main manifestation was a mass with a median evolution of 12 months for benign tumors and five months for malignant tumors. Ultrasonography was the most frequent complementary exam. Pleomorphic adenoma was the most common of the benign tumors, and mucoepidermoid carcinoma was the most frequent malignant tumor. Superficial parotidectomy with preservation of the facial nerve was the most common surgical procedure and reversible paresis of branches of the facial nerve was the most common complication.
CONCLUSIONS
Pleomorphic adenoma is the most common parotid gland tumor and superficial parotidectomy with preservation of the facial nerve is the most common and appropriate treatment for most low-morbidity tumors.
引言
腮腺良性肿瘤占涎腺肿瘤的大多数。
目的
回顾由同一位外科医生进行手术治疗的腮腺肿瘤的临床特征。
方法
对154例腮腺肿瘤患者进行回顾性研究。评估并描述临床和组织学数据、手术类型及并发症。
结果
主要表现为肿块，良性肿瘤的中位病程为12个月，恶性肿瘤为5个月。超声检查是最常用的辅助检查。多形性腺瘤是最常见的良性肿瘤，黏液表皮样癌是最常见的恶性肿瘤。保留面神经的腮腺浅叶切除术是最常见的手术方式，面神经分支可逆性麻痹是最常见的并发症。
结论
多形性腺瘤是最常见的腮腺肿瘤，保留面神经的腮腺浅叶切除术是大多数低发病率肿瘤最常见且合适的治疗方法。
Zotero 插件