Seifert G, Oehne H
Laryngol Rhinol Otol (Stuttg). 1986 Sep;65(9):485-91.
The total material of the Salivary Gland Register (1965-1985) contained 167 mesenchymal tumours with an intra- or paraglandular localisation. This corresponds to 1.5% of all cases of the Salivary Gland Register or to 5% of all salivary gland tumours. Periglandular tumours without relation to the salivary gland tissue, metastatic tumours or malignant lymphomas were not considered in this study. With respect to the localisation, the age and sex distribution and the histopathological classification the following results were obtained: 90% of all mesenchymal tumours were localised in the parotid gland and 10% in the submandibular gland. In lipomas, the percentage of the parotid gland was even 95%; in lymphangiomas, however, it was only 80%. Angiomas occur preferably in the first and second decades and represent in this age period nearly 90% of all mesenchymal tumours. The age peak of lipomas lies in the fifth to sixth decades, whereas neurogenic tumours are distributed relatively equal over the fourth to seventh decades. A sex disposition was seen in lipomas (85% in males), neurinomas (65% in females) and neurofibromas (75% in males). 90% were benign mesenchymal tumours, 10% sarcomas. Within the benign tumours 47.5% were angiomas, 22.5% lipomas, 16% neurogenic tumours and 4% rare benign tumours. In angiomas (79 cases) haemangiomas (50 cases), lymphangiomas (17 cases), mixed haemangiomas and lymphangiomas (9 cases) and haemangiopericytomas (3 cases) could be seen, in neurogenic tumours (27 cases) neurinomas (12 cases), neurofibromas (12 cases) and neurofibromatoses (3 cases), in sarcomas (17 cases) malignant fibrous histiocytomas (5 cases), malignant schwannomas (5 cases), embryonal rhabdomyosarcomas (4 cases) and other rare sarcomas (one case each myxoid liposarcoma, leiomyosarcoma, malignant haemangioendothelioma).(ABSTRACT TRUNCATED AT 250 WORDS)
唾液腺登记处(1965 - 1985年)的全部资料包含167例间质瘤,肿瘤位于腺体内或腺旁。这相当于唾液腺登记处所有病例的1.5%,或所有唾液腺肿瘤的5%。本研究未考虑与唾液腺组织无关的腺周肿瘤、转移性肿瘤或恶性淋巴瘤。关于肿瘤的位置、年龄和性别分布以及组织病理学分类,得出以下结果:所有间质瘤的90%位于腮腺,10%位于下颌下腺。脂肪瘤中,腮腺的比例甚至达到95%;然而,淋巴管瘤中该比例仅为80%。血管瘤好发于第一和第二个十年,在这个年龄段占所有间质瘤的近90%。脂肪瘤的年龄高峰在第五至第六个十年,而神经源性肿瘤在第四至第七个十年分布相对均匀。脂肪瘤(男性占85%)、神经鞘瘤(女性占65%)和神经纤维瘤(男性占75%)存在性别倾向。90%为良性间质瘤,10%为肉瘤。在良性肿瘤中,47.5%为血管瘤,22.5%为脂肪瘤,16%为神经源性肿瘤,4%为罕见的良性肿瘤。在血管瘤(79例)中,可见血管瘤(50例)、淋巴管瘤(17例)、混合性血管瘤和淋巴管瘤(9例)以及血管外皮细胞瘤(3例);在神经源性肿瘤(27例)中,有神经鞘瘤(12例)、神经纤维瘤(12例)和神经纤维瘤病(3例);在肉瘤(17例)中,有恶性纤维组织细胞瘤(5例)、恶性神经鞘瘤(5例)、胚胎性横纹肌肉瘤(4例)和其他罕见肉瘤(黏液样脂肪肉瘤、平滑肌肉瘤、恶性血管内皮瘤各1例)。(摘要截选至250词)