Stanley R E, Mackenzie I J, Maran A G
Ann Acad Med Singap. 1984 Jan;13(1):91-5.
This is a retrospective study of 19 patients who were referred to the Department of Otolaryngology, Edinburgh Royal Infirmary with recurrent pleomorphic adenoma of the parotid gland. In the majority of patients, a superficial parotidectomy was performed as primary treatment. Recurrence of the tumour was either due to tumour implantation or inadequate surgical excision. Permanent facial paralysis occurred in three patients after revision parotidectomy. Change from pleomorphic adenoma at first operation to carcinoma in pleomorphic adenoma (malignant mixed tumour) at the second was noted in three patients who are still alive and free of recurrent tumour. Eighteen out of the 19 patients did not have further recurrences after revision parotidectomy. The surgical principles in the prevention of tumour recurrence and revision parotidectomy are discussed.
这是一项对19例因复发性腮腺多形性腺瘤转诊至爱丁堡皇家医院耳鼻喉科的患者进行的回顾性研究。大多数患者接受了浅叶腮腺切除术作为初始治疗。肿瘤复发要么是由于肿瘤种植，要么是手术切除不彻底。3例患者在腮腺再次切除术后出现永久性面瘫。3例仍存活且无肿瘤复发的患者在首次手术时为多形性腺瘤，第二次手术时转变为多形性腺瘤癌变（恶性混合瘤）。19例患者中有18例在腮腺再次切除术后未出现进一步复发。文中讨论了预防肿瘤复发和腮腺再次切除术的手术原则。
