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本文报告54例腺淋巴瘤的临床病理特点,其中男性47例,女性7例。69%发生于50岁以后,一般表现为腮腺后份表面或下极部无痛性肿块,触诊时质软,表面光滑,界限清楚。临床上应与腮腺混合瘤、淋巴结结核和囊肿相鉴别。组织学观察到该瘤包膜极薄,有时可见多发中心灶,提示不应单纯摘除肿瘤,而应连同周围腺体组织一并切除,以防术后复发。
This article reports the clinical and pathological features of 54 cases of adenolymphoma, including 47 males and 7 females. 69% occurs after the age of 50, and usually presents as a painless mass on the posterior surface or lower pole of the parotid gland. The palpation is soft, smooth, and has a clear boundary. Clinically, it should be differentiated from the mixed tumor of parotid gland, lymph node tuberculosis and cyst. Histologically, it was observed that the tumour capsule was extremely thin, and multiple central foci were sometimes seen, suggesting that the tumour should not be simply removed, but should be removed together with the surrounding glandular tissue to prevent postoperative recurrence.