腭部唾液腺肿瘤的诊断和治疗  

THE DIAGNOSIS AND TREATMENT OF SALIVARY GLAND TUMARS OF PALATE

作　　者：李满敬[1] 李克莉 黄海潞 

机构地区：[1]山西大同第三人民医院口腔科

出　　处：《天津医科大学学报》1997年第2期24-25,35,共3页Journal of Tianjin Medical University

摘　　要：报告５７例腭部的小唾液腺肿瘤，男２５例，女３２例。５２例发生在后腭和软腭，针吸细胞学检查可确定肿瘤的组织类型。肿瘤的组织类型有单形性腺瘤、多形性腺瘤和癌。良性肿瘤在包膜外局部切除；局部浸润性肿瘤行局部扩大切除，但切缘要有足够的安全性，若深达骨面者可用骨钻去除骨皮质或腭板开窗；恶性肿瘤行手术、化疗、放疗的联合治疗可提高病人生存率和治愈率。Mucous secreting salivary glands are distributed throughout the oral cavity And about 50% of smaller salivary gland tumors occur in the palate This paper reports 57 cases There were 25 male cases and 32 female cases Among them 52 cases occur in the posterior and soft palate The histologic type of the tumors can be defined by using the fine needle biopsy The histologic classification of the tumors is devided into the monomorphic adenomas, pleomorphic adenoma and carcinomas The benign tumor can be resected outside capsule To obtain the favourable surgical margins, locally aggressive lesions require the treatment of the wide local surgery If it reaches down to bone, then removal of the surfacial layer of the cortex or fenestration of the palate with a bur are necessary The malignant tumor can be treated by combination of surgical therapy, radiation therapy and chemotherapy This will certainly increase the survival and cure rate of patients with sailvary gland tumors of the palate

关 键 词：腭肿瘤 唾液腺肿瘤 诊断 治疗 

分 类 号：R739.83[医药卫生—肿瘤]