Uslu S S, Inal E, Ataoglu O, Sezer C
Department of Otorhinolarynology, Gazi University Medical School, Ankara, Turkey.
Int J Pediatr Otorhinolaryngol. 1995 Oct;33(2):163-9. doi: 10.1016/0165-5876(95)01205-p.
Tumors of the salivary glands in children are not as common as in adults and they are mostly benign. The most common benign epithelial neoplasm seen in children is pleomorphic adenoma. As is usually the case in the adult population, it is usually found in the superficial lobe of the parotid gland. Its localization in the deep lobe is rare. Pleomorphic adenomas of the deep lobe present with a neck mass and when it is large, it may have an intraoral extension as well. It may also assume a dumb-bell shape as it enlarges and may be observed on CT or MRI scans as a prestyloid mass. The choice of treatment depends on the localization and the size of the tumor. The method can be transoral, cervical, transmandibular, transparotid, retromandibular fossa or a combination of these. A child with an unusually large pleomorphic adenoma of the deep lobe of the parotid gland is presented in this study. The deep lobe tumor was totally removed using a combination of cervical and transmandibular approaches.
儿童唾液腺肿瘤不如成人常见，且大多为良性。儿童中最常见的良性上皮性肿瘤是多形性腺瘤。与成人情况通常一样，它通常位于腮腺浅叶。其位于深叶的情况罕见。腮腺深叶多形性腺瘤表现为颈部肿块，肿块较大时也可能有口内延伸。随着肿瘤增大，它还可能呈哑铃状，在CT或MRI扫描上可表现为茎突前肿块。治疗方法的选择取决于肿瘤的位置和大小。治疗方法可以是经口、颈部、经下颌、经腮腺、下颌后窝入路或这些方法的联合应用。本研究报告了一名患有腮腺深叶异常大的多形性腺瘤的儿童。采用颈部和经下颌联合入路将深叶肿瘤完全切除。
