腮腺Warthin瘤64例临床分析  

Clinical analysis of 64 cases of Warthin tumor

作　　者：易晓辉[1] 张树标[1] 高平[1] 余伟明[1] 刘小峰[1] 

机构地区：[1]广州医学院第一附属医院口腔科,广东广州510120

出　　处：《中国医药导报》2009年第9期44-45,共2页China Medical Herald

摘　　要：目的:分析Warthin瘤的临床特点,探讨Warthin瘤的手术治疗方法。方法:对我院近年来收治的64例Warthin瘤病例的临床资料进行回顾性分析。结果:在392例腮腺肿瘤患者中,Warthin瘤64例,占13.8%。其中,男性46例,女性8例,男∶女=5.8∶1;年龄46～75岁,发病高峰年龄为60～70岁,共28例,占51.9%。部位:在后下极占86%,耳前占11%,其他部位占3%。84.4%的患者有吸烟史,28.1%的患者有消长史。行腮腺浅叶切除及腮腺区域性切除术,随访1～7年均未见复发。结论:腮腺Warthin瘤主要发生在50岁以上男性患者。在发病情况、临床表现等方面具有自身的特点,治疗应根据肿瘤的位置、大小的不同情况而采取不同的手术方式。Objective： To analyze the clinical features of Warthin tumor and to evaluate the surgical management for Wartbin tumor. Methods： The clinical data of 64 cases of Warthin tumor in recent 8 years was analyzed retrospectively. Results： There were 64 cases（13.8%） of Warthin tumor in all 392 cases of parotid gland tumor.The ratio of male to female patients was 5.8：1 （46：8）.Age ranged from 46 to 75.The predilection was 60-70 years old（28 cases,51.9%）.Location：the lower portion of parotid gland region accounted for 86%, preauricula accounted for 11%,other positions accounted for 3%. 84.4% had smoking history,28.1% had tumor growth and decline history. Patients were treated with region resection or en-bloc resection. Followed up 1-7 years, no recurrence was found. Conclusion： Warthin tumor mainly occurs in male patients older than 50. The type of surgical method should be determined by the size,location and number of the tumor.

关 键 词：腮腺 腺淋巴瘤 外科手术 区域性切除术 

分 类 号：R739.81[医药卫生—肿瘤]