Matsumoto Noriko Muto, Umezawa Hiroki, Ohashi Ryuji, Peng Wei-Xia, Naito Zenya, Ogawa Rei
Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School, Tokyo, Japan; and Department of Pathology, and Department of Integrated Diagnostic Pathology, Graduate School of Medicine, Nippon Medical School Hospital, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2016 Mar 17;4(3):e645. doi: 10.1097/GOX.0000000000000614. eCollection 2016 Mar.
We experienced a rare case of sclerosing polycystic adenosis (SPA) arising in a parotid gland. A 33-year-old man who underwent unspecified surgery for a lesion in the left parotid gland 23 years ago presented with a lesion on the same site. Computed tomography scan revealed an encapsulated 3 × 2 cm lesion. Intraoperative findings showed that the tumor was embedded deep in the parotid gland. Marginal tumor excision was performed to preserve the facial nerve. Histopathological and immunohistochemical findings led to the final diagnosis of SPA. The surgery was not associated with any other complications. To date, 28 months after surgery, recurrence has not been observed. The treatment protocol of SPA has not yet been established. To make plastic surgeons familiar with this disease, we describe this case, which was successfully treated without any complications.
我们遇到了一例罕见的发生于腮腺的硬化性多囊性腺病（SPA）。一名33岁男性，23年前因左侧腮腺肿物接受了未明确的手术，此次同一部位再次出现肿物。计算机断层扫描显示一个3×2厘米的包膜性肿物。术中发现肿瘤深埋于腮腺内。为保留面神经进行了肿瘤边缘切除。组织病理学和免疫组织化学检查结果最终确诊为SPA。手术未出现任何其他并发症。截至手术28个月后，未观察到复发。SPA的治疗方案尚未确立。为使整形外科医生熟悉这种疾病，我们描述了这例成功治疗且无任何并发症的病例。
