Stevens K L, Hobsley M
Br J Surg. 1982 Jan;69(1):1-3. doi: 10.1002/bjs.1800690102.
We reviewed 100 patients who underwent formal parotidectomy. Seventy-two were new patients in whom a parotid lump proved to be a pleomorphic adenoma. Twenty-eight were patients in whom a tumour had recurred after treatment for pleomorphic adenoma by local excision (with or without irradiation) elsewhere. After a follow-up of 1--15 years (median 4 years), there were no recurrences in the primary group but 5 recurrences among the secondary cases. Permanent facial nerve damage was not seen in the primary group, but 11 patients undergoing secondary parotidectomy were left with some permanent facial weakness. Malignant change occurred in 4 patients in the secondary group.
我们回顾了100例行正式腮腺切除术的患者。其中72例为新患者，其腮腺肿块经证实为多形性腺瘤。28例为曾在其他地方接受过局部切除（伴或不伴放疗）治疗多形性腺瘤后肿瘤复发的患者。经过1至15年（中位时间4年）的随访，原发性病例组无复发，但继发性病例中有5例复发。原发性病例组未出现永久性面神经损伤，但11例接受二次腮腺切除术的患者遗留有一定程度的永久性面部肌无力。继发性病例组中有4例发生恶变。
