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皮脂细胞癌大部分发生于眼睑,眼外皮肤的皮脂细胞癌报道少见,国外文献报告可以肯定的仅17例。至于发生在涎腺中的皮脂细胞癌更属罕见,国内至今报告二例。我院一九六二年以来遇三例:一例是在右侧眶下皮肤,二例在腮腺,现将腮腺的二例报告例下:病例一:男性,50岁,住院号15907。右侧耳垂下肿块两年,初起不痛,8～9个月后逐渐增大,有刺痛,并出现同侧面部麻木,以“腮腺癌”诊断入院。检查:右侧腮腺区肿块4×4cm。呈结节状,坚硬、移动性差,与皮肤无粘连,压痛不明显。同侧面瘫,可能及颈深上淋巴结。入院后在全麻下行“腮腺颌颈联合根治术”。术中见颈深上淋巴结肿大。肿块与面神经、下颌髁状突及乳突尖粘连。病理诊断:右腮腺皮脂细胞癌伴颈深上淋巴结转移癌形成。
The majority of sebaceous cell carcinomas occur in the eyelids. Reports of sebaceous carcinomas of the extraocular skin have been rare. Only 17 cases have been reported in the foreign literature. The occurrence of sebaceous cell carcinoma in the parotid gland is even rarer, and two cases have been reported so far in the country. Three cases have occurred in our hospital since 1962: One case was in the right armpit skin and two cases were in the parotid gland. Two cases of parotid glands are now reported: Case 1: Male, 50 years old, hospital number 15907. The right ear lobe had a mass of 2 years, and it did not hurt at the beginning. It gradually increased after 8-9 months. It had tingling, and there was numbness on the side with the diagnosis of “parotid gland cancer.” Check: The mass in the parotid gland on the right side is 4 x 4cm. Nodular, hard, poor mobility, no adhesion to the skin, tenderness is not obvious. The same side of the paralysis, and cervical lymph nodes may be deep. After admission, the patient underwent a “surgical treatment of parotid glands, jaws, and necks” under general anesthesia. During the operation, there was swelling of the neck and lymph nodes. The masses adhered to the facial nerve, the mandibular condyle and the papillary process. Pathological diagnosis: right temporal parietal cell carcinoma with deep cervical metastasis.