Hirabayashi S, Yanai A, Muraishi Y
Department of Plastic Surgery, Teikyo University, Tokyo, Japan.
Ann Plast Surg. 1997 Feb;38(2):184-6. doi: 10.1097/00000637-199702000-00016.
The case of a 41-year-old female is described wherein a minor salivary gland pleomorphic adenoma originating in the right retromolar area had extended into the infratemporal fossa and enlarged to 5 x 6 x 12 cm. The patient first became conscious of the mass as a slight swelling of the buccal mucosa when she was about 30 years of age, and the swelling since then had gradually gained in prominence. Preoperative computed tomography scan demonstrated a well-circumscribed mass occupying the right infratemporal fossa and medially displacing the pterygoid laminas. The mass was easily removed without much bleeding and no recurrence has been detected for 4 years. The incidence of pleomorphic adenoma originating in the retromolar area, the size of minor salivary gland pleomorphic adenomas at the time of diagnosis, and the treatment of choice are discussed.
本文描述了一例41岁女性病例，其起源于右磨牙后区的小唾液腺多形性腺瘤已扩展至颞下窝，大小增至5×6×12厘米。患者在30岁左右首次意识到颊黏膜有轻微肿胀，自那时起肿胀逐渐明显。术前计算机断层扫描显示一个边界清晰的肿块占据右颞下窝，并使翼状板向内侧移位。肿块易于切除，出血不多，4年来未发现复发。文中讨论了起源于磨牙后区的多形性腺瘤的发病率、诊断时小唾液腺多形性腺瘤的大小以及治疗选择。
