Levan P, De Kerviler E, Revol M, Servant J M
Service de Chirurgie Plastique, CHU Saint-Louis, Paris, France.
Ann Chir Plast Esthet. 1997 Aug;42(4):333-6; discussion 337.
We report the case of a patient with a lipoma of the superficial lobe of the right parotid gland. Lipomas of the parotid gland are very rare. They are said to constitute one to two percent of all parotid tumours. Only six cases were found in the recent literature. Preoperative diagnosis is difficult when the physical examination reveals a renitent, well-localized and painless mass. However, magnetic resonance imaging is now the imaging modality of choice to facilitate the diagnosis, but the diagnosis can only be confirmed by histological examination of the tumour. We discuss the value of superficial parotidectomy, while some authors suggest an enucleation of lipomas of the superficial lobe of parotid.
我们报告了一例右侧腮腺浅叶脂肪瘤患者的病例。腮腺脂肪瘤非常罕见。据说它们占所有腮腺肿瘤的1%至2%。最近的文献中仅发现6例。当体格检查发现一个质地坚韧、定位良好且无痛的肿块时，术前诊断很困难。然而，磁共振成像现在是有助于诊断的首选成像方式，但诊断只能通过肿瘤的组织学检查来证实。我们讨论了腮腺浅叶切除术的价值，而一些作者建议对腮腺浅叶脂肪瘤进行摘除术。
