腮腺腺泡细胞癌临床诊治  

Diagnosis and treatment for parotid acinic cell carcinoma

作　　者：王玥[1] 吴文澜[1] 张园[1] 

机构地区：[1]江苏省肿瘤医院头颈外科,江苏南京210009

出　　处：《中国耳鼻咽喉头颈外科》2009年第7期363-365,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的研究腮腺腺泡细胞癌临床诊治方法。方法回顾性分析我院1985～2007年收治的19例腮腺腺泡细胞癌诊治经过,4例行腮腺浅叶切除,3例行腮腺浅叶加部分深叶切除,5例行腮腺全切除术,6例行腮腺全切除术加颈清术,其中8例行术后放疗。1例外院活检术后仅行根治性放疗。术后随访1～20年。结果无1例死亡,有5例术后复发,复发率26.3%(5/19)。结论彻底的手术切除和术后放疗是腮腺腺泡细胞癌的主要治疗方法。OBJECTIVE To study the diagnosis and treatment of parotid acinic cell carcinoma. METHODS The clinical data of 19 cases with parotid acinic cell carcinoma treated from 1985 to 2007 were retrospectively reviewed. Four patients underwent superficial parotidectomy, 5 patients underwent total parotidectomy, 6 patients underwent superficial parotidectomy plus partial deep parotidectomy, 6 patients underwent total parotidectomy and neck dissection. Eight patients received postoperative radiotherapy. One patient only received radical radiotherapy after biopsy. All patients were followed up for 1 to 20 years. RESULTS Nobody died after operation. Five cases recurred after operation, and the recurrence rate was 26.3% （5/19） . CONCLUSION The main treatment for parotid acinic cell carcinoma is complete resection and postoperative radiotherapy.

关 键 词：腮腺肿瘤 癌 腺泡细胞 外科手术 

分 类 号：R739.8[医药卫生—肿瘤] R155.3[医药卫生—临床医学]