25例舌部腺样囊性癌的临床分析  

Clinical analysis of 25 patients with glossal adenoid cystic carcinoma

作　　者：张梅[1] 徐忠法[1] 陶阳[1] 潘毅[2] 于洋[3] 赵文川[3] 

机构地区：[1]山东省医学科学院附属医院头颈外科,山东济南250031 [2]天津医科大学附属肿瘤医院病理科,天津300060 [3]天津医科大学附属肿瘤医院头颈外科,天津300060

出　　处：《国际口腔医学杂志》2009年第2期148-151,共4页International Journal of Stomatology

摘　　要：目的探讨舌部腺样囊性癌(ACC)的临床特点和治疗效果。方法回顾分析天津医科大学附属肿瘤医院25例舌部ACC患者的临床和随访资料。结果在25例患者中,20例行手术治疗,随访时间2～24年,拒绝手术并失访者5例,采用直接法统计分析3、5、10和15年的生存率分别为78.95%、58.82%、28.57%和10.00%。结论舌部ACC不易及时确诊、肿瘤生长缓慢、易复发且伴有远处转移,故手术切除应彻底。Objective To assess the clinical features and the treatment results of glossal adenoid cystic carcinoma（ACC）. Methods A retrospective analysis was performed on 25 patients with ACC of the tongue by their clinical manifestation, the therapy and follow-up information. Results There were 20 patients of operation, and 5 patients refused it and lost of following-up. The patients of operation were followed up from 2 to 24 years. The overall 3, 5, 10 and 15-year survival rate of patients was 78.95%, 58.82%, 28.57%, 10.00%, respectively. Conclusion Glossal ACC, especially the body of tongue, is not easy to exact diagnosis in early stage. It progresses slowly and also has the tendency of recurrence and cancerous metastasis. Thus it is necessary to do thorough surgery.

关 键 词：头颈部肿瘤 舌 腺样囊性癌 舌肿块 治疗 

分 类 号：R739.8[医药卫生—肿瘤]