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目的:对腮腺肿瘤的临床和病理学特点进行分析,探讨诊断和治疗中的注意事项。方法:对1985～2005年间收治的112例腮腺肿瘤病例的临床和病理学特点进行回顾性分析。结果:112例腮腺肿瘤男性多于女性。年龄14～80岁。良性肿瘤84例,占75%,恶性肿瘤28例,占25%。B超诊断符合率86.4%。细针吸细胞学定性诊断符合率92.9%,组织类型鉴别较困难。24例腮腺良性肿瘤直径<2cm者行肿瘤加瘤周正常腺体切除术,获得随访18例,1例腺淋巴瘤在其它部位复发。结论:术前定性诊断应根据肿瘤的部位、大小及患者的情况选择合适的检查方法,疑难病例手术中冰冻活体组织检查是确诊的可靠依据。小的腮腺良性肿瘤实施瘤周正常腺体切除术,不增加复发率,并能减少腮腺手术的并发症。
OBJECTIVE: To analyze the clinical and pathological features of parotid tumors and discuss the precautions in diagnosis and treatment. Methods: The clinical and pathological features of 112 cases of parotid tumors treated between 1985 and 2005 were analyzed retrospectively. Results: 112 cases of parotid gland tumors more men than women. Age 14 to 80 years old. 84 cases of benign tumors, accounting for 75%, 28 cases of malignant tumors, accounting for 25%. B-ultrasound diagnosis rate of 86.4%. Fine needle aspiration cytology consistent with the rate of 92.9%, identification of tissue types more difficult. 24 cases of parotid benign tumor diameter <2cm line tumor and peritumoral normal gland resection, were followed up 18 cases, 1 case of adenolymphoma recurrence in other parts. Conclusion: Preoperative qualitative diagnosis should be based on the location of the tumor, the size of the patient’s condition and choose the appropriate method of examination, cryogenic biopsy in difficult cases surgery is reliable basis for diagnosis. Small parotid benign tumor implementation of peritumoral normal gland resection, does not increase the recurrence rate, and can reduce the complications of parotid surgery.