Hancock B D
Wythenshawe Hospital, Manchester.
Ann R Coll Surg Engl. 1987 Nov;69(6):293-5.
A personal series of 64 new pleomorphic adenomas of the parotid were removed with a very low rate of capsular rupture (1.6%) using a flexible approach. The aim was to remove the tumour with a covering of normal parotid where possible after exposing the trunk and appropriate branches of the facial nerve. Exposure of the capsule, however, was unavoidable in some situations, as in deep tumours, those in contact with the nerve and in very superficial tumours. Great care must be taken to avoid capsular rupture and, provided this is done, long term recurrence rates of less than 2% can be expected.
本人主刀的一系列64例腮腺多形性腺瘤新病例，采用灵活的手术方法切除，包膜破裂率极低（1.6%）。目的是在暴露面神经主干及其合适分支后，尽可能在正常腮腺覆盖下切除肿瘤。然而，在某些情况下，如深部肿瘤、与神经接触的肿瘤以及非常表浅的肿瘤，包膜暴露是不可避免的。必须格外小心避免包膜破裂，只要做到这一点，预计长期复发率低于2%。
