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作者所在医院共诊治10232例头颈部恶性肿瘤,其中272例发生在30岁以下,占2.7%,44例在15岁以下,发病率随年龄而增高.272例年轻患者中,男性132例,女性140例.受累部位以甲状腺和鼻咽部最为常见,其次为大涎腺、颊粘膜、付鼻窦、鼻腔、舌及喉、中耳及口咽部较少见.76例为甲状腺恶性肿瘤,其余196例中,鳞状细胞癌94例,占48%;肉瘤26例,粘液表皮样癌21例;其它依次为腺样囊性癌,腺癌、未分化癌等,多形性腺瘤因其生物学行为与基底细胞癌相似而列入其中.
The author’s hospital diagnosed and treated 10,232 cases of head and neck malignancies, of which 272 cases occurred in the 30s or younger, accounting for 2.7%, 44 cases were under the age of 15, and the incidence rate increased with age. Of the 272 young patients, 132 were males. Among 140 females, the thyroid and nasopharynx were the most common affected areas, followed by the salivary glands, buccal mucosa, sinuses, nasal cavity, tongue and throat, middle ear, and oropharynx. 76 cases were thyroid malignancies. Among the remaining 196 cases, 94 cases were squamous cell carcinoma, accounting for 48%; 26 cases were sarcoma, 21 cases were mucoepidermoid carcinoma; others were adenoid cystic carcinoma, adenocarcinoma, undifferentiated carcinoma, etc., because of pleomorphic adenoma. Biological behavior is similar to basal cell carcinoma and included therein.