Gritzmann N, Türk R, Wittich G, Karnel F, Schurawitzki H, Brunner E
Rofo. 1986 Dec;145(6):648-51. doi: 10.1055/s-2008-1049008.
Clinical and sonographic examinations were carried out on 38 patients who had undergone excision of a parotid gland for adenolymphomas and the results were compared. In 23 of these patients (60%) sonography showed further tumours on the same or opposite side, or bilaterally. The incidence of multiple tumours is therefore significantly higher than has been assumed so far. In 76% of patients, sonography showed clinically occult cystadenoma lymphomatosum. Only 14% of tumours smaller than 12 mm were detected clinically. In four patients, tumours larger than 12 mm, but lying deep in the gland were missed on palpation. In view of the frequency of multi-local or bilateral tumours, sonography of both parotids should be performed if there is clinical suspicion of a parotid tumour.
对38例因腺淋巴瘤行腮腺切除术的患者进行了临床和超声检查,并对结果进行了比较。其中23例患者(60%)超声检查显示同侧、对侧或双侧有其他肿瘤。因此,多灶性肿瘤的发生率明显高于目前的推测。76%的患者超声检查显示有临床隐匿性淋巴囊腺瘤。临床上仅检测出14%的小于12mm的肿瘤。4例患者触诊未发现位于腺体深部、大于12mm的肿瘤。鉴于多灶性或双侧肿瘤的发生率较高,如果临床怀疑有腮腺肿瘤,应同时对双侧腮腺进行超声检查。