Hussaini Adnan S, Prasad Navin R, Paal Edina, Tefera Eshetu A, Malekzadeh Sonya, Maxwell Jessica H
MedStar Georgetown University Hospital, Department of Otolaryngology, Head and Neck Surgery, Washington, DC, USA.
Georgetown University School of Medicine, Washington, DC, USA.
World J Otorhinolaryngol Head Neck Surg. 2020 Jul 8;7(4):285-290. doi: 10.1016/j.wjorl.2020.05.009. eCollection 2021 Oct.
Salivary gland tumors account for 6%-8% of head and neck neoplasms with the parotid gland as the most common primary site. Pleomorphic adenomas (PA) are considered the most common benign parotid gland neoplasms, followed by Warthin tumors (WT). The goal of this study was to investigate the distribution of parotid gland neoplasms among a United States veteran population.
Retrospective chart review.
Washington DC Veterans Affairs Medical Center.
Veterans who underwent fine needle aspiration (FNA) for a parotid gland mass from 2000 to 2018 were included. Medical records were reviewed for gender, age, tobacco use, surgery date, and pathology results.
Changes in the distribution of parotid neoplasms and tobacco use over an 18-year period.
Of 141 patients with parotid gland masses, 86.5% (n = 122) were benign, 9.9% (n = 14) were malignant, and 3.5% (n = 5) were indeterminate. Of benign tumors, WT accounted for the majority at 51.6%, followed by PA at 40.2%. When stratified by decade (2000-2009 and 2010-2018), the proportion of WT compared to all other benign and malignant neoplasms increased from 31.6% to 53.6%, whereas the proportion of PA decreased from 36.8% to 33.3%. The rate of tobacco use was unchanged at approximately 32.0% among our cohort from 2000 to 2018.
Among our cohort of veteran patients, WT was the most common benign parotid tumor and has increased in incidence over the last two decades despite an unchanged smoking rate.
涎腺肿瘤占头颈部肿瘤的6%-8%，其中腮腺是最常见的原发部位。多形性腺瘤（PA）被认为是最常见的腮腺良性肿瘤，其次是沃辛瘤（WT）。本研究的目的是调查美国退伍军人人群中腮腺肿瘤的分布情况。
回顾性病历审查。
华盛顿特区退伍军人事务医疗中心。
纳入2000年至2018年因腮腺肿块接受细针穿刺抽吸（FNA）的退伍军人。审查病历以获取性别、年龄、吸烟情况、手术日期和病理结果。
18年间腮腺肿瘤分布和吸烟情况的变化。
141例腮腺肿块患者中，86.5%（n = 122）为良性，9.9%（n = 14）为恶性，3.5%（n = 5）为不确定。在良性肿瘤中，WT占多数，为51.6%，其次是PA，为40.2%。按十年分层（2000 - 2009年和2010 - 2018年），与所有其他良性和恶性肿瘤相比，WT的比例从31.6%增加到53.6%，而PA的比例从36.8%下降到33.3%。2000年至2018年，我们队列中的吸烟率保持不变，约为32.0%。
在我们的退伍军人患者队列中，WT是最常见的腮腺良性肿瘤，尽管吸烟率不变，但在过去二十年中发病率有所增加。
