Yee Young-Jae, Han Dawool, Lee Chena, Kim Jun-Young
Department of Oral and Maxillofacial surgery, Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Korea.
Department of Oral Pathology, Oral Cancer Research Institute, Yonsei University College of Dentistry, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2022 Aug 31;48(4):237-241. doi: 10.5125/jkaoms.2022.48.4.237.
Sclerosing polycystic adenosis (SPA) is a rare, asymptomatic disease that occurs mainly in the salivary glands. We report the case of a 51-year-old man who presented with trismus and pain upon mouth opening. Magnetic resonance imaging revealed a 2-cm mass located in the anterior portion of the left parotid gland. SPA was diagnosed based on histopathological examination of the surgical specimen. In pathologic findings, there was a well-circumscribed multicystic nodule in the parenchyma. Dense fibrosis and chronic non-specific inflammatory cells were observed in the stroma. In 13 previous reports on SPA, the most preferred treatment was superficial or total parotidectomy. This report suggests that simple excision of SPA preserves facial nerve function and facial volume.
硬化性多囊性腺病（SPA）是一种罕见的无症状疾病，主要发生于唾液腺。我们报告一例51岁男性患者，其表现为牙关紧闭及张口时疼痛。磁共振成像显示左腮腺前部有一个2厘米大小的肿块。根据手术标本的组织病理学检查诊断为SPA。病理检查发现，实质内有一个边界清楚的多囊性结节。间质中可见致密纤维化及慢性非特异性炎性细胞。在之前13篇关于SPA的报道中，最常用的治疗方法是腮腺浅叶切除术或全腮腺切除术。本报告提示，单纯切除SPA可保留面神经功能及面部容积。
