腮腺肿块的综合分析：369例回顾性研究。
Comprehensive analysis of parotid mass: A retrospective study of 369 cases.
作者信息
Comoglu Senol, Ozturk Erkan, Celik Mehmet, Avci Hakan, Sonmez Said, Basaran Bora, Kiyak Erkan
机构信息
Department of Otorhinolaryngology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul 34093, Turkey.
出版信息
Auris Nasus Larynx. 2018 Apr;45(2):320-327. doi: 10.1016/j.anl.2017.04.003. Epub 2017 May 1.
OBJECTIVE
To present the results of patients who underwent superficial or total parotidectomy because of parotid gland tumors in our tertiary care clinic.
METHODS
The data of 362 patients who underwent parotid surgery from January 2008 to November 2015 were collected and analyzed in demographic, histopathological features, and complications.
RESULTS
Three hundred sixty-nine cases (performed in 359 patients) were analyzed and we assessed complications of parotid surgery such as transient or permanent facial paralysis and Frey's syndrome. Pleomorphic adenomas and Warthin's tumors consisted 74% of all parotid gland tumors. These tumors were generally located in the superficial lobe and tail of the parotid gland (81%). Also, tumor size in the positive surgical margin group was larger than in the negative surgical margin group (p=0.012).
CONCLUSIONS
Most of parotid gland tumors are benign. However, the frequency of malignancy increases in deep lobe of parotid gland. High grade malignant tumors have more tendency to have positive surgical margin during surgery, and facial paresis preoperatively.
目的
展示在我们三级医疗诊所因腮腺肿瘤接受浅叶或全腮腺切除术患者的结果。
方法
收集并分析了2008年1月至2015年11月期间接受腮腺手术的362例患者的数据，包括人口统计学、组织病理学特征及并发症。
结果
分析了369例手术（359例患者接受手术），并评估了腮腺手术的并发症，如暂时性或永久性面瘫以及味觉出汗综合征。多形性腺瘤和沃辛瘤占所有腮腺肿瘤的74%。这些肿瘤通常位于腮腺浅叶和尾部（81%）。此外，手术切缘阳性组的肿瘤大小大于手术切缘阴性组（p = 0.012）。
结论
大多数腮腺肿瘤是良性的。然而，腮腺深叶恶性肿瘤的发生率增加。高级别恶性肿瘤在手术期间更倾向于有阳性手术切缘以及术前出现面部轻瘫。
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