腮腺病变的评估
Evaluation of Parotid Lesions.
作者信息
Kuan Edward C, Mallen-St Clair Jon, St John Maie A
机构信息
Department of Head and Neck Surgery, University of California, Los Angeles (UCLA) Medical Center, Los Angeles, CA, USA.
Department of Head and Neck Surgery, University of California, Los Angeles (UCLA) Medical Center, Los Angeles, CA, USA; UCLA Head and Neck Cancer Program, Jonsson Comprehensive Cancer Center, University of California, Los Angeles (UCLA) Medical Center, Los Angeles, CA, USA.
出版信息
Otolaryngol Clin North Am. 2016 Apr;49(2):313-25. doi: 10.1016/j.otc.2015.10.004. Epub 2016 Feb 20.
The differential diagnosis of a parotid lesion is broad, and the otolaryngologist must consider inflammatory, neoplastic, autoimmune, traumatic, infectious, or congenital causes. A comprehensive history and physical examination, in conjunction with judicious use of radiographic imaging (MRI, computed tomography, ultrasonography, nuclear medicine studies), laboratory studies, and pathologic analysis (fine-needle aspiration, core biopsy, incisional biopsy), facilitates making an accurate diagnosis. This article reviews the key history and physical elements and adjunctive diagnostic tools available for working up parotid lesions.
腮腺病变的鉴别诊断范围广泛，耳鼻喉科医生必须考虑炎症、肿瘤、自身免疫、创伤、感染或先天性病因。全面的病史和体格检查，结合合理使用影像学检查（磁共振成像、计算机断层扫描、超声检查、核医学检查）、实验室检查和病理分析（细针穿刺、粗针活检、切开活检），有助于做出准确诊断。本文回顾了评估腮腺病变时可用的关键病史、体格检查要点及辅助诊断工具。
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