Gross M, Sorger K, Schaub T
HNO-Klinik, Johannes Gutenberg-Universität Mainz.
Laryngol Rhinol Otol (Stuttg). 1987 Sep;66(9):465-8.
Tumours originating from the ceruminous glands can be classified into five types: adenomas, adenocarcinomas, adenoid-cystic carcinomas, pleomorphic adenomas and mucoepidermoid carcinomas. The diagnosis is based on histological findings and can be quite difficult if the tumour status has to be determined. Classification into one of the five types of tumours may be facilitated at times by studying the clinical pattern. Three case reports are quoted as examples to illustrate that neoplasias originating from the ceruminous glands can assume considerable proportions and must be considered in differential diagnosis when assessing space-occupying growths in the soft tissue of the neck. Whereas prognosis of adenomas and pleomorphic adenomas can be considered to be good, it must be regarded as likely to be infaust in the case of adenocarcinomas, adenoid-cystic carcinomas and mucoepidermoid carcinomas. The use of cytostatics resulted in a marked reduction of the tumour in one of the described cases of adenocarcinoma.
腺瘤、腺癌、腺样囊性癌、多形性腺瘤和黏液表皮样癌。诊断基于组织学检查结果，如果必须确定肿瘤状态，可能会相当困难。有时通过研究临床模式有助于将肿瘤分类为五种类型之一。引用三个病例报告作为例子来说明，起源于耵聍腺的肿瘤可能占据相当大的比例，在评估颈部软组织占位性病变时必须考虑到这一点并进行鉴别诊断。虽然腺瘤和多形性腺瘤的预后可以认为良好，但腺癌、腺样囊性癌和黏液表皮样癌的预后则可能不佳。在所描述的一例腺癌病例中，使用细胞抑制剂使肿瘤明显缩小。
