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头颈部良性涎腺肿瘤的切缘

Margins for Benign Salivary Gland Neoplasms of the Head and Neck.

作者信息

Carlson Eric R, McCoy James Michael

机构信息

Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, University of Tennessee Cancer Institute, 1930 Alcoa Highway, Suite 335, Knoxville, TN 37920, USA.

Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA; Department of Pathology, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA; Department of Radiology, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA.

出版信息

Oral Maxillofac Surg Clin North Am. 2017 Aug;29(3):325-340. doi: 10.1016/j.coms.2017.03.009.

Abstract

The proper ablation of any neoplasm of the head and neck requires the inclusion of linear and anatomic barrier margins surrounding the neoplasm. Extirpative surgery of the major and minor salivary glands is certainly no exception to this surgical principle. To this end, the selection and execution of the most appropriate ablative surgical procedure for a major or minor benign salivary gland neoplasm is an essential exercise in oral and maxillofacial surgery. Of equal importance is the intraoperative identification and preservation of the pseudocapsule surrounding the benign neoplasm. This article reviews these important elements specifically related to ablative surgery of benign neoplasms of the parotid, submandibular and minor salivary glands with strict attention to observed nomenclature.

摘要

对头颈部任何肿瘤进行适当的消融都需要包括肿瘤周围的线性和解剖学边界。大、小唾液腺的切除手术当然也不例外。为此,为大、小唾液腺良性肿瘤选择并实施最合适的消融手术是口腔颌面外科的一项重要工作。同样重要的是术中识别并保留良性肿瘤周围的假包膜。本文特别回顾了与腮腺、下颌下腺和小唾液腺良性肿瘤消融手术相关的这些重要因素,并严格遵循所观察到的命名法。

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