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唾液腺肿瘤:土耳其一家大学医院的15年经验

Salivary gland tumors: A 15-year experience of a university hospital in Turkey.

作者信息

Mengi Erdem, Kara Cuneyt Orhan, Tumkaya Funda, Ardic Fazil Necdet, Topuz Bulent, Bir Ferda

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.

Department of Pathology, Pamukkale University Faculty of Medicine, Denizli, Turkey.

出版信息

North Clin Istanb. 2020 Jun 15;7(4):366-371. doi: 10.14744/nci.2020.57767. eCollection 2020.

Abstract

OBJECTIVE

To determine the demographic characteristics of benign and malignant salivary gland tumors in our department in the last 15 years.

METHODS

In this study, the files of the patients who underwent salivary gland surgery between 2004 and 2019 in our department were analyzed retrospectively. A total of 366 patients whose diagnoses of salivary gland tumor histopathologically confirmed were included in this study. The demographic data of the patients and tumor localizations were recorded, and their relationships with histopathological results were examined.

RESULTS

Of the 366 tumors, 292 (80%) of them was originated from the parotid gland, 52 (14%) from the submandibular gland, and 22 (6%) from the minor salivary gland. The male: female ratio was found as 1.2:1, and the mean age of the patients was 50.37 years. A total of 259 (70.8%) tumors were benign, and 107 (29.2%) were malignant. The most frequent benign tumor was pleomorphic adenoma, with 121 cases (46.7%). While pleomorphic adenomas constituted the majority of the benign tumors of the submandibular gland and minor salivary glands, Warthin tumor was detected more than pleomorphic adenoma in the parotid gland. The most common malignant tumor was mucoepidermoid carcinoma, with 26 cases (24.3%).

CONCLUSION

The distribution of the salivary gland tumors detected in our department was found to be substantially similar to other worldwide series. Unlike the literature, we concluded that salivary gland tumors were seen slightly more in males, minor salivary gland tumors were relatively rare and Warthin tumors were more frequently detected in our region.

摘要

目的

确定过去15年我院涎腺良恶性肿瘤的人口统计学特征。

方法

本研究回顾性分析了2004年至2019年在我院接受涎腺手术患者的病历。本研究共纳入366例经组织病理学确诊为涎腺肿瘤的患者。记录患者的人口统计学数据和肿瘤定位,并检查它们与组织病理学结果的关系。

结果

在366例肿瘤中,292例(80%)起源于腮腺,52例(14%)起源于颌下腺,22例(6%)起源于小涎腺。男女比例为1.2:1,患者平均年龄为50.37岁。共有259例(70.8%)肿瘤为良性,107例(29.2%)为恶性。最常见的良性肿瘤是多形性腺瘤,共121例(46.7%)。多形性腺瘤在颌下腺和小涎腺的良性肿瘤中占多数,而在腮腺中,沃辛瘤的检出率高于多形性腺瘤。最常见的恶性肿瘤是黏液表皮样癌,共26例(24.3%)。

结论

我院检测到的涎腺肿瘤分布与世界其他系列研究基本相似。与文献不同的是,我们得出的结论是,男性涎腺肿瘤的发病率略高,小涎腺肿瘤相对少见,且在我们地区沃辛瘤的检出率更高。

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