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[腮腺基底细胞腺瘤的诊断与治疗]

[Diagnosis and treatment of basal cell adenoma of parotid gland].

作者信息

Mei J Y, Yang J M, Yu J W, Huang S, Xu Y, Liu L, Liu Y H

机构信息

Department of OtorhinolaryngologyHead and Neck Surgery, the Second Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Mar;32(5):341-344. doi: 10.13201/j.issn.1001-1781.2018.05.006.

DOI:10.13201/j.issn.1001-1781.2018.05.006
PMID:29798290
Abstract

To investigate the clinical features, diagnosis and treatment experience of basal cell adenoma (BCA).The clinical data of 7 patients with basal cell adenoma of the parotid gland from the Second Affiliated Hospital of Medical University of Anhui from March 2012 to June 2016 were retrospectively analyzed. Combined with literature review, the experience of diagnosis and treatment was discussed.Seven BCA were mostly diagnosed as pleomorphic adenoma and adenomatous lymphoma before operation using parotid ultrasound, fine needle aspiration cytology and parotid enhanced CT, and no patients was diagnosed as BCA prior to the operation. Four cases were diagnosed as BCA, 1 case was diagnosed as adenoma, 1 case was diagnosed as low-grade malignant tumor, and 1 case was not able to identify benign or malignant tumor by intraoperative fast frozen pathological examination. There were no obvious complications after the operation, and only 2 cases of mild facial paralysis returned to normal in 1 month, and no recurrence was found in the follow-up 18-69 months. Basal cell adenoma of the parotid gland is a rare benign tumor of parotid gland, the lack of specific clinical manifestations and signs, preoperative ultrasonography, fine needle aspiration cytology and parotid gland enhanced CT scan can not confirm the diagnosis, although they have some limitations, they are of great value in the localization, qualitative and differential diagnosis of BCA in the parotid gland. The diagnosis mainly depends on intraoperative, postoperative pathology and immunohistochemical examination. The treatment is mainly surgical excision, and the prognosis is better.

摘要

探讨基底细胞腺瘤(BCA)的临床特征、诊断及治疗经验。回顾性分析安徽医科大学第二附属医院2012年3月至2016年6月收治的7例腮腺基底细胞腺瘤患者的临床资料。结合文献复习,探讨其诊断及治疗经验。7例BCA术前经腮腺超声、细针穿刺细胞学检查及腮腺增强CT检查,大多被误诊为多形性腺瘤及腺淋巴瘤,术前无1例确诊为BCA。术后病理确诊为BCA 4例,腺瘤1例,低度恶性肿瘤1例,术中快速冷冻病理检查1例未能明确良恶性。术后无明显并发症,仅2例轻度面瘫患者1个月后恢复正常,随访18~69个月无复发。腮腺基底细胞腺瘤是一种少见的腮腺良性肿瘤,缺乏特异性临床表现及体征,术前超声、细针穿刺细胞学检查及腮腺增强CT扫描虽有一定局限性,但对腮腺BCA的定位、定性及鉴别诊断有重要价值。诊断主要依靠术中、术后病理及免疫组化检查。治疗以手术切除为主,预后较好。

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