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小儿患者的涎腺上皮性肿瘤:一项综述

Epithelial salivary gland neoplasms in pediatric patients: A comprehensive review.

作者信息

Pérez-de-Oliveira M-E, Sousa-Neto S-S, Vargas P-A

机构信息

Departamento de Diagnóstico Oral Área de Patologia Oral Faculdade de Odontologia de Piracicaba Universidade Estadual de Campinas Av. Limeira, 901, Postal code: 13.414-903 Piracicaba, São Paulo (SP), Brasil

出版信息

Med Oral Patol Oral Cir Bucal. 2025 May 1;30(3):e440-e445. doi: 10.4317/medoral.26983.

Abstract

BACKGROUND

Salivary gland tumors (SGTs) are a rare group of neoplasms in pediatric patients, characterized by diverse histological subtypes and distinct biological behaviors. This manuscript aims to provide a comprehensive overview of the demographic, clinical, and histopathological characteristics of SGTs in this population, with the goal of enhancing understanding of their presentation and implications for treatment.

MATERIAL AND METHODS

An updated descriptive literature review was performed to identify studies reporting the clinicopathological features of epithelial SGTs in pediatric patients.

RESULTS

SGTs in pediatric patients are slightly more prevalent in females and typically arise during the second decade of life. The parotid gland is the most commonly affected site for both benign and malignant tumors, which usually present as an asymptomatic mass. Pleomorphic adenoma and mucoepidermoid carcinoma are the most frequently observed entities. Surgical intervention remains the primary treatment modality, and the overall prognosis is generally favorable.

CONCLUSIONS

This review highlights that SGTs in pediatric patients present distinct clinical features and prognostic outcomes compared to adults. Although they are rare in this age group, clinicians should remain vigilant to these neoplasms when assessing nodular masses in both major and minor salivary glands.

摘要

背景

涎腺肿瘤(SGTs)在儿科患者中是一组罕见的肿瘤,具有多种组织学亚型和独特的生物学行为。本手稿旨在全面概述该人群中涎腺肿瘤的人口统计学、临床和组织病理学特征,以增进对其表现及治疗意义的理解。

材料与方法

进行了一项最新的描述性文献综述,以确定报告儿科患者上皮性涎腺肿瘤临床病理特征的研究。

结果

儿科患者的涎腺肿瘤在女性中略为常见,通常在生命的第二个十年出现。腮腺是良性和恶性肿瘤最常受累的部位,通常表现为无症状肿块。多形性腺瘤和黏液表皮样癌是最常观察到的类型。手术干预仍然是主要的治疗方式,总体预后通常良好。

结论

本综述强调,与成人相比,儿科患者的涎腺肿瘤具有独特的临床特征和预后结果。尽管它们在这个年龄组中很少见,但临床医生在评估大涎腺和小涎腺的结节性肿块时,应始终对这些肿瘤保持警惕。

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