腮腺粘液表皮样癌61例临床分析  

Clinical analysis on 61 cases of mucoepidermoid carcinoma of the parotid gland

作　　者：陈伟泉[1] 廖卫国[1] 黄文喜[1] 漆其光[1] 温清泉[1] 谭广谋[1] 黄海燕[1] 李铨[1] 

机构地区：[1]广州医科大学附属肿瘤医院头颈外科,510095

出　　处：《国际医药卫生导报》2014年第13期1910-1912,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨影响腮腺粘液表皮样癌患者预后的临床病理因素.方法 对1986年至2010年在广州医科大学附属肿瘤医院住院治疗的61例原发于腮腺粘液表皮样癌进行回顾性队列研究.应用Kaplan-Meier法计算累计生存率,各因素间比较用Log-rank检验,多因素分析采用Cox回归分析模型.结果 本组61例患者总的5年、10年生存率分别为81.2％、74.9％.多因素分析结果表明：切缘阳性的患者预后差（P＜0.05）.结论 手术治疗是腮腺粘液表皮样癌的首选治疗方法,切缘情况是影响硬腭鳞癌预后的独立因素.Objective To summarize the clinicopathologic prognostic factors of mucoepidermoid carcinoma of the parotid gland which is the most common malignant tumor of the salivary.Methods 61 cases of mucoepidermoid carcinoma of the parotid gland hospitalized in The Affiliated Tumor Hospital of Guangzhou Medical University,from 1986 to 2010 were reviewed retrospectively.The cumulative survival rate was analyzed by Kaplan-Meier method.And then the factors were compared using the Log-rank test.While the influencing factors were screened by Cox proportional hazards model.Results The 5-and 10-year overall survival rates were 81.2％ and 74.9％,respectively.Multivariate analysis showed that margin positive was independently associated with decrease survival rates （P ＜ 0.05）.Conclusion Surgery therapy was the principal treatment method for mucoepidermoid carcinoma of the parotid gland.Margin is independent factor affecting the prognosis.

关 键 词：腮腺肿瘤 粘液表皮样癌 预后 

分 类 号：R739.8[医药卫生—肿瘤]