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目的探讨16岁以下儿童唾液腺上皮性肿瘤的临床病理类型、诊断及治疗方法。方法对在1983年至2013年间住院治疗的26例儿童唾液腺上皮性肿瘤的临床病理类型、诊断、治疗、预后进行分析及总结。结果 26例儿童唾液腺上皮性肿瘤中良性肿瘤19例(73.1%),以多形性腺瘤最为多见;恶性肿瘤7例(26.9%),以黏液表皮样癌最多见。肿瘤最常发生在腮腺,共14例,其次是腭部小唾液腺,6例。26例均经外科手术治疗,并获得3年以上的随访,良性肿瘤均无复发,恶性肿瘤一例复发。结论儿童唾液腺上皮性肿瘤以腮腺最为多发,其次为腭部小唾液腺。恶性肿瘤比例较成人高。治疗以手术切除为主,应重视术前组织学诊断,尽量避免术后复发及并发症的发生。
Objective To investigate the clinicopathological types, diagnosis and treatment of salivary gland epithelial tumors in children under 16 years of age. Methods The clinicopathological types, diagnosis, treatment and prognosis of salivary gland epithelial tumors in 26 children hospitalized from 1983 to 2013 were analyzed and summarized. Results Twenty-nine children (73.1%) had salivary gland epithelial tumors, the most common being pleomorphic adenoma. Seven cases (26.9%) were malignant tumors, the most common being mucoepidermoid carcinoma. Tumors occurred most commonly in the parotid gland, a total of 14 cases, followed by a small palatal salivary gland, 6 cases. Twenty-six patients were surgically treated and were followed up for more than three years. None of the benign tumors recurred, and one of the malignant tumors recurred. Conclusions Child salivary gland epithelial tumors are most frequently parotid glands, followed by small salivary glands in the palate. The proportion of malignant tumors than adults. The main treatment of surgical resection, should pay attention to preoperative histological diagnosis, try to avoid postoperative recurrence and complications.