Asfar S K, Steitiyeh M R, Abdul-Amir R
Department of Surgery, Amiri Teaching Hospital, Kuwait.
Can J Surg. 1989 Jul;32(4):295-6.
Large calculi of the salivary glands are rare. They may go undetected for many years. The authors report three cases of giant submandibular gland calculi. In one patient, the calculus was an incidental finding. In all patients, the mass was in the substance of the gland; in one, the configuration of the mass was unusual and it had eroded through the floor of the buccal cavity forming an orocervical fistula (the first such report) and in another the mass occupied a small portion of Wharton's duct. The histopathologic findings in all three cases were of nonspecific chronic inflammation. All the patients made a smooth recovery and had no complaints at follow-up.
唾液腺大结石较为罕见。它们可能多年未被发现。作者报告了3例巨大颌下腺结石病例。其中1例患者的结石是偶然发现的。所有患者的肿块均位于腺体实质内；1例患者肿块的形态异常，已穿破颊腔底部形成口颈瘘（此类报告中的首例），另1例患者的肿块占据了颌下腺导管的一小部分。所有3例病例的组织病理学表现均为非特异性慢性炎症。所有患者均顺利康复，随访时无不适主诉。
