Chair and Clinic of Otorhinolaryngology, Head and Neck Surgery at the Medical University of Warsaw, Poland.
Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Poland.
Otolaryngol Pol. 2022 Mar 18;76(4):1-5. doi: 10.5604/01.3001.0015.8056.
The review of indications for surgical treatment of major salivary glands in adults hospitalized in the Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw.
The retrospective analysis was based on the 1173 postoperative histopathological examinations of the salivary glands collected over a period of 10 years (2010-2020). Analysis included histopathological diagnosis, localization of lesions, multifocality, complete resection, lymph node involvement, as well as demographical data of sex and age.
Over half (61.38%) of all indications for surgical treatment of the salivary glands were benign tumors (n = 720) with the most common pleomorphic adenoma, which accounted for 33.5% of all cases (n = 393). The next most frequent group of diagnoses were non-neoplastic diseases of the salivary glands, 24.98% of all cases (n = 293). Malignant neoplasms of the salivary glands accounted for 13.64% of all diagnoses (n = 160). Salivary gland diseases slightly predominated among the female sex, with a particularly pronounced predominance in pleomorphic adenoma. Men, on the other hand, were treated more often for malignant neoplasms. The mean age of the patients was the lowest in the group of non-neoplastic diseases of the salivary glands. The mean age of patients with malignant neoplasms was significantly higher than in other pathologies. The largest tumors size was identified for malignant neoplasms. Diseases of the salivary glands treated surgically were most often located in the parotid gland, with the exception of non-neoplastic diseases, which most often involved the submandibular gland.
Surgical management in pathologies of the salivary glands applies to all types of lesions, both neoplastic and non-neoplastic diseases. Patients with particular diseases are characterized by a different structure of age, sex and location of changes.
回顾波兰华沙医科大学耳鼻喉科-头颈外科 10 年间（2010-2020 年）收治的成人腮腺重大唾液腺疾病的手术治疗指征。
本回顾性分析基于 1173 例腮腺术后组织病理学检查结果。分析内容包括组织病理学诊断、病变部位、多灶性、完全切除、淋巴结受累情况以及性别和年龄的人口统计学数据。
所有唾液腺手术治疗指征中，超过一半（61.38%）为良性肿瘤（n=720），最常见的是多形性腺瘤，占所有病例的 33.5%（n=393）。其次是常见的非肿瘤性唾液腺疾病，占所有病例的 24.98%（n=293）。恶性唾液腺肿瘤占所有诊断的 13.64%（n=160）。女性唾液腺疾病略占优势，其中多形性腺瘤的优势尤为明显。另一方面，男性更常因恶性肿瘤接受治疗。在非肿瘤性唾液腺疾病组中，患者的平均年龄最低。恶性肿瘤患者的平均年龄明显高于其他病理类型。最大的肿瘤大小见于恶性肿瘤。手术治疗的唾液腺疾病最常位于腮腺，而非肿瘤性疾病最常累及颌下腺。
手术治疗适用于各种唾液腺病变，包括肿瘤性和非肿瘤性疾病。特定疾病的患者在年龄、性别和病变部位结构上存在差异。
