涎腺多形性低度恶性腺癌误诊分析  

Misdiagnosis of Polymorphous Low-Grade Adenocarcinoma in Salivary Glands

作　　者：张强[1] 曾昭源[1] 查春红[1] 陈林林[1] 谭伟兵[1] 张永福[1] 

机构地区：[1]南昌大学附属口腔医院颌面外科,江西南昌330006

出　　处：《实用临床医学（江西）》2006年第3期71-72,共2页Practical Clinical Medicine

摘　　要：目的:研究多形性低度恶性腺癌(PLGA)的临床病理特征和临床误诊分析。方法:对江西医学院附属口腔医院口腔颌面外科1990年至2004年诊断为多形性低度恶性腺癌的病例进行回顾性分析,确诊了9例PLGA患者,并进行临床及病理分析。结果:发生于腭部7例,腮腺2例;术前诊断为多形性低度恶性腺癌者1例,其余未作出准确诊断;细针穿刺细胞学检查及术中冰冻切片检查未能明确诊断。结论:多形性低度恶性腺癌易发生于软硬腭交界处和腮腺下极,易被误诊,临床上应注意与其它良恶性肿瘤进和鉴别诊断。Objective： To investigate the clinicopathological character of polymorphous low-grade adenocarcinoma（PLGA）and causes of its misdiagnosis. Methods： Nine cases of PLGA diagnosed between 1990-2004 were retrieved from the files of the Affiliated Stomatological Hospital of Jiangxi Medical College. Clinical and pathological features were reviewed. Results：Seven cases occurred on palate and two cases on parotid gland; Only one was diagnosed as PLGA preoperatically while others were misdialnosed. Conclusion： PLGA arises often in the palate minor salivary glands or parotid glands. Differential diagnosis should be made because it is easily be misdiagnosed as other tumors.

关 键 词：多形性低度恶性腺癌 涎腺 误诊 鉴别诊断 

分 类 号：R739.87[医药卫生—肿瘤]