412例腮腺恶性肿瘤回顾分析

发布时间：2018-05-06 01:18

本文选题：腮腺 + 恶性肿瘤　；参考：《上海口腔医学》2014年03期

【摘要】：目的:通过回顾性分析,总结腮腺恶性肿瘤的发病特点、临床及影像学表现。方法:收集解放军总医院口腔颌面外科、耳鼻咽喉、头颈外科及大连医科大学附属第一医院口腔颌面外科收治的腮腺恶性肿瘤病例412例,对其临床资料进行回顾分析。结果:构成比占前3位的腮腺恶性肿瘤分别为黏液表皮样癌、腺样囊性癌和腺泡细胞癌;412例腮腺恶性肿瘤中,73.1%有伴随症状或近期生长加快表现;58.0%的恶性肿瘤质地硬,66.2%活动度中等偏差,32.3%边界不清,36.8%有疼痛;74.2%CT显示肿瘤形态不规则,68.7%超声显示肿瘤形态不规则;细针吸取细胞活检和术中快速冷冻检查对腮腺恶性肿瘤的诊断符合率分别为83.7%和91.8%,术中快速冷冻检查对腮腺高度恶性肿瘤的诊断符合率为79.4%。结论:腮腺恶性肿瘤的病理类型复杂多样;综合考虑其发病特点、临床及影像学表现,有助于腮腺恶性肿瘤的诊断;细针吸取细胞活检和术中快速冷冻检查诊断腮腺恶性肿瘤有较高的准确性。
[Abstract]:Objective: to summarize the clinical and imaging features of parotid gland malignant tumor by retrospective analysis. Methods: 412 cases of malignant tumor of parotid gland in oral and maxillofacial surgery, otolaryngopharynx, head and neck surgery and the first affiliated hospital of Dalian Medical University were collected and analyzed retrospectively. Results: mucoepidermoid carcinoma was the first three malignant tumors of parotid gland. In 412 parotid malignant tumors with adenoid cystic carcinoma and acinar cell carcinoma, 73.1% of the malignant tumors had accompanying symptoms or 58.0% of the malignant tumors showed accelerated growth in the near future. 66.2% of the malignant tumors had moderate activity deviation of 36.3%. 36.8% had pain and 74.2CT showed tumor morphology irregularity. 68.7% of the tumors were irregular in shape. The diagnostic coincidence rates of fine needle aspiration cell biopsy and intraoperative rapid cryopreservation for parotid malignant tumors were 83.7% and 91.8%, respectively. The diagnostic coincidence rate of intraoperative rapid cryopreservation for parotid malignant tumors was 79.4%. Conclusion: the pathological types of parotid gland malignant tumor are complicated and varied, and the clinical and imaging manifestations of parotid gland malignant tumor are considered comprehensively, which is helpful to the diagnosis of parotid gland malignant tumor. Fine needle aspiration cell biopsy and intraoperative rapid cryopreservation are highly accurate in the diagnosis of parotid malignant tumors.
【作者单位】：解放军总医院口腔颌面外科;大连医科大学附属第一医院口腔颌面外科;
【分类号】：R739.8

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