近年来,由于抗菌素的广泛应用,放线菌病已不多见。而原发于腮腺的放线菌病临床更为罕见。现将笔者所遇1例报告如下: 患者男性,66岁,干部。住院号:224194。患者因右腮腺区肿块2个月,腮腺造影X线片发现“右腮腺导管中断,分支导管断续或紊乱”。门诊以右腮腺区恶性肿瘤收入院。入院后查:T·P·R,BP均正常。心肺无异常,肝脾未扪及。颜面部明显不对称,右腮腺区外突,局部可见10×8×4cm实质性肿块。边界不清,质地较硬,呈板状,和周围皮肤粘连,活动度差。肿块表面皮肤充血,有轻度压痛。面神经功能好,无面瘫。周围淋巴结均不肿大。张口度2cm,双腮腺导管口均未见异常分泌物。入院后发 In recent years, actinomycosis has been rare due to the widespread use of antibiotics. The clinical origin of actinomycosis in the parotid gland is even rarer. The case of a case reported by the author is as follows: The patient is male, 66 years old, and a cadre. Hospital number: 224194. The patient’s right parotid gland mass was 2 months old, and the parotid radiography showed that “the right parotid duct was interrupted and the branch duct was intermittent or disordered.” Outpatients were admitted to the right parotid gland malignant tumor. After admission, check: T·P·R, BP are normal. No abnormal heart and lung, liver and spleen are not affected. Obvious asymmetry facial, right parotid gland outburst, local visible 10 × 8 × 4cm solid mass. The borders are unclear, the texture is hard, it is plate-shaped, and it sticks to the surrounding skin. The activity is poor. The skin on the surface of the tumor was hyperemia with mild tenderness. Facial nerve function is good, no facial paralysis. The surrounding lymph nodes are not swollen. The mouth opening was 2 cm, and no abnormal secretions were found in the ducts of both salivary glands. Posted after admission