Pisani P, Ramponi A, Pia F
Department of Otorhinolaryngology, University of Turin, Italy.
J Laryngol Otol. 1996 Feb;110(2):148-50. doi: 10.1017/s0022215100133006.
In order to better define the anatomical and clinical importance of the deep parotid lymph nodes, the surgical specimens obtained from a series of 18 total parotidectomies were evaluated. In 10 cases primary parotid pathology was found, whereas in the remaining eight cases metastases to glandular lymph nodes were present. One hundred and forty-nine lymph nodes, in all, were identified (range 3-14, average 8.2, mean 8), 118 located in the superficial parotid lobe (range 3-11, average 6.5, mean 7), and 31 in the deep lobe (range 0-5, average 1.7, mean 2). In the group of patients with oncological pathology, of the total 64 lymph nodes examined, 21 were found to be sites of metastasis, 11 in the superficial lobe, and 10 in the deep lobe. The above findings confirm the anatomical and oncological importance of the deep parotid lymph nodes, and highlight the necessity of a total parotidectomy in all cases in which intraglandular spread of lymph node metastases is certain or suspect.
为了更好地明确腮腺深淋巴结的解剖学和临床重要性，对一系列18例全腮腺切除术获取的手术标本进行了评估。10例发现原发性腮腺病变，其余8例存在腺内淋巴结转移。总共识别出149个淋巴结（范围3 - 14个，平均8.2个，均值8个），118个位于腮腺浅叶（范围3 - 11个，平均6.5个，均值7个），31个位于深叶（范围0 - 5个，平均1.7个，均值2个）。在肿瘤病理患者组中，在总共检查的64个淋巴结中，发现21个为转移部位，11个在浅叶，10个在深叶。上述发现证实了腮腺深淋巴结的解剖学和肿瘤学重要性，并强调在所有确定或怀疑存在淋巴结转移腺内播散的病例中进行全腮腺切除术的必要性。
