Watkin G T, MacLennan K A, Hobsley M
Br J Surg. 1984 Sep;71(9):701-2. doi: 10.1002/bjs.1800710920.
The clinical and pathological features of 17 patients who had lymphomas of the parotid region are discussed. Although it is in general impossible on clinical grounds to make a pathological diagnosis on clinical examination of a lump in the parotid region, features which are not typically seen in the majority of patients with parotid lumps, but which were present in 11 (65 per cent) of those patients, are emphasized. Multiple ipsilateral and bilateral lumps were seen in 30 per cent of our patients with lymphomas of the parotid region. However, these are statistically more likely to indicate the benign adenolymphoma. Palpable lymph nodes were seen in association with the parotid mass in 53 per cent of our patients. Whereas a clinical diagnosis cannot be established simply by the presence of an enlarged lymph node in association with the parotid lump, we suggest that the probability of the lump being a lymphoma is sufficient to justify biopsy of the lymph node as a first line of treatment. Biopsy of associated palpable lymph nodes enabled the diagnosis to be made in seven out of eight patients subjected to biopsy, and avoided the necessity for parotidectomy in these patients.
本文讨论了17例腮腺区淋巴瘤患者的临床和病理特征。尽管一般来说，仅根据临床检查很难对腮腺区肿块做出病理诊断，但文中强调了一些在大多数腮腺肿块患者中不常见的特征，而这些特征在11例（65%）患者中出现。在我们的腮腺区淋巴瘤患者中，30%可见同侧和双侧多发肿块。然而，从统计学角度来看，这些肿块更有可能提示良性腺淋巴瘤。53%的患者腮腺肿块伴有可触及的淋巴结。虽然不能仅凭腮腺肿块伴有肿大淋巴结就做出临床诊断，但我们认为该肿块为淋巴瘤的可能性足以支持将淋巴结活检作为一线治疗方法。对相关可触及淋巴结进行活检，使得接受活检的8例患者中有7例得以确诊，避免了这些患者进行腮腺切除术。
