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本文通过24例临床分析,提出腺样囊性癌不仅好发于三对大涎腺,而且分布于其他部位的小涎腺、粘液腺及汗腺也有相当比例发生;多发生于40岁以上者约占75%,女与男比为2:1;其侵袭力很强,却生长较慢,预后较鳞癌和腺癌要好;其临床早期出现疼浦,是其有沮神经干湿润和转移所致;外科手术切除为最好治疗方法,不宜保留受累所有神经;决定于其预后的因素决定发现和治疗是否及时,更重要的是瘤细胞的分型,瘤细胞分化等。
In this paper, 24 cases of clinical analysis suggest that adenoid cystic carcinoma not only occurs in three pairs of large salivary glands, but also in other parts of the distribution of the small salivary glands, mucus glands and sweat glands also have a considerable proportion; occurred in persons over the age of 40 Accounting for 75%, the ratio of female to male is 2: 1; the invasiveness is strong, but grows slowly, the prognosis is better than squamous cell carcinoma and adenocarcinoma; To; surgical resection for the best treatment, should not retain all the nerves involved; decided to determine the prognosis of the factors that determine whether the treatment is timely, more importantly, the type of tumor cells, tumor cell differentiation.