Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Hwasun Hospital, Hwasun, South Korea.
Ann Palliat Med. 2022 Aug;11(8):2641-2645. doi: 10.21037/apm-22-307. Epub 2022 Jun 28.
Multiple synchronous neoplasms in the ipsilateral parotid gland are very rare. We intend to analyze the clinical characteristics and treatment results of multiple synchronous neoplasms in the ipsilateral parotid gland managed at our hospital.
The study included 21 patients of multiple synchronous neoplasms in the ipsilateral parotid gland from January 2010 to December 2020.
Twenty-one cases of multiple synchronous neoplasms in the ipsilateral parotid gland were identified among 994 cases of parotid surgery, with a frequency of 2.1%. Multiple synchronous neoplasms in the ipsilateral parotid gland occurred in all males and one female. Except for one case, all of them involved histopathologic neoplasms. Warthin tumor (n=19, 90.5%) was the most common. Among 21 lesions, there were 9 patients of right parotid gland, 4 patients of left parotid gland, and 4 patients of bilateral parotid gland. The main symptoms were slowly enlarging mass within the parotid gland (n=20), followed by incidental detection (n=1).
Clinicians should be aware of the possibility of multiple synchronous neoplasms in the ipsilateral parotid gland. Preoperative imaging tests, clinical examinations, and careful palpation during surgery are important for accurate diagnosis and treatment.
同侧腮腺内发生多个同时性肿瘤非常罕见。我们旨在分析我院治疗的同侧腮腺内多个同时性肿瘤的临床特征和治疗效果。
该研究纳入了 2010 年 1 月至 2020 年 12 月期间在我院接受治疗的 21 例同侧腮腺内多个同时性肿瘤患者。
在 994 例腮腺手术中，共发现 21 例同侧腮腺内多个同时性肿瘤，发生率为 2.1%。同侧腮腺内多个同时性肿瘤发生于所有男性和 1 例女性。除 1 例外，所有患者均涉及组织病理学肿瘤。Warthin 瘤（n=19，90.5%）最常见。21 个病灶中，右侧腮腺 9 例，左侧腮腺 4 例，双侧腮腺 4 例。主要症状为腮腺内缓慢增大的肿块（n=20），其次为偶然发现（n=1）。
临床医生应意识到同侧腮腺内多个同时性肿瘤的可能性。术前影像学检查、临床检查和术中仔细触诊对准确诊断和治疗很重要。
