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作者在1978～1983年诊断涎腺肿瘤69例,大多数病人的年龄为20～40岁,多半是女性。其中腮腺肿瘤58例(混合瘤36例,癌8例,腺淋巴瘤5例,粘液表皮样瘤4例,园柱瘤4例,脂肪瘤1例);颌下腺肿瘤11例(混合瘤9例,癌2例)。根据病史、视诊和触诊,考虑肿瘤的生长时间和速度、形态和大小、活动性和硬度等进行临床诊断,把恶性肿瘤误诊为良性肿瘤6例,误诊率为8.7％。全部进行了诊断性穿刺和细胞学检查,诊断符合率90％以上,但把4例粘液表皮样瘤误诊为腺淋巴瘤,把1例癌和1例园柱瘤误诊为混合瘤。
The authors diagnosed 69 cases of parotid gland tumors from 1978 to 1983. Most patients were between 20 and 40 years old, and most of them were women. Among them, there were 58 cases of parotid gland tumors (36 mixed tumors, 8 cancers, 5 adenolymphomas, 4 mucoepidermoidomas, 4 cylindrical tumors, 1 lipoma), 11 submandibular gland tumors (9 mixed tumors, 2 cases of cancer). According to medical history, visual inspection and palpation, the clinical diagnosis was made considering the growth time, speed, shape and size, activity and hardness of the tumor. Malignant tumors were misdiagnosed as benign tumors in 6 cases. The misdiagnosis rate was 8.7%. All diagnostic puncture and cytological examinations were performed, and the diagnostic accuracy rate was over 90%. However, 4 cases of mucoepidermoid tumors were misdiagnosed as adenolymphoma. One case of cancer and one case of cylindrical tumor were misdiagnosed as mixed tumors.