腮腺基底细胞腺瘤的诊断与治疗  

Diagnosis and treatment of basal cell adenoma of parotid gland

作　　者：梅金玉[1] 杨见明[1] 余俊伟 黄山[2] 徐艳[1] 刘龙[1] 刘业海[3] MEI Jinyu,YANG Jianming,YU Junwei,HUANG Shan,XU Yan,LIU Long,LIU Yehai(1Department of Otorhinolaryngology-Head and Neck Surgery, the Second Affiliated Hospital of Anhui Medical University, Hefei, 230022, China;2Department of Pathology, the Second Affiliated Hospital of Anhui Medical University;3Department of Otorhinolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Anhui Medical Universit)

机构地区：[1]安徽医科大学第二附属医院耳鼻咽喉头颈外科,合肥230022 [2]安徽医科大学第二附属医院病理科 [3]安徽医科大学第一附属医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第5期341-344,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:分析腮腺基底细胞腺瘤(BCA)的临床特征,总结其诊断和治疗经验。方法:回顾性分析2012-03-2016-06期间安徽医科大学第二附属医院耳鼻咽喉头颈外科收治的7例腮腺BCA患者的临床资料,结合文献复习,总结其诊断与治疗经验。结果:经术前腮腺超声、细胞学穿刺、腮腺增强CT等检查,7例BCA患者多被诊断为多形性腺瘤和腺淋巴瘤等,均不能被确诊为BCA。7例BCA经术中快速冷冻切片病理诊断,4例诊断为BCA,1例诊断为腺瘤,1例诊断为低度恶性肿瘤,1例不能明确良恶性。7例患者术后常规病理检查结合免疫组织化学检查均能够明确诊断为BCA。术后患者均无明显并发症,2例轻度口角歪斜,1个月左右恢复正常;随访18~69个月均无复发。结论:BCA缺乏特异性的临床表现及体征,术前腮腺超声、细胞学穿刺、腮腺增强CT等检查难以明确诊断,确诊主要依靠术中、术后病理及免疫组织化学检查。治疗以手术切除为主,预后较好。Objective：To investigate the clinical features,diagnosis and treatment experience of basal cell adenoma（BCA）.Method：The clinical data of 7 patients with basal cell adenoma of the parotid gland from the Second Affiliated Hospital of Medical University of Anhui from March 2012 to June 2016 were retrospectively analyzed.Combined with literature review,the experience of diagnosis and treatment was discussed.Result：Seven BCA were mostly diagnosed as pleomorphic adenoma and adenomatous lymphoma before operation using parotid ultrasound,fine needle aspiration cytology and parotid enhanced CT,and no patients was diagnosed as BCA prior to the operation.Four cases were diagnosed as BCA,1 case was diagnosed as adenoma,1 case was diagnosed as low-grade malignant tumor,and 1 case was not able to identify benign or malignant tumor by intraoperative fast frozen pathological examination.There were no obvious complications after the operation,and only 2 cases of mild facial paralysis returned to normal in 1 month,and no recurrence was found in the follow-up 18-69 months.Conclusion：Basal cell adenoma of the parotid gland is a rare benign tumor of parotid gland,the lack of specific clinical manifestations and signs,preoperative ultrasonography,fine needle aspiration cytology and parotid gland enhanced CT scan can not confirm the diagnosis,although they have some limitations,they are of great value in the localization,qualitative and differential diagnosis of BCA in the parotid gland.The diagnosis mainly depends on intraoperative,postoperative pathology and immunohistochemical examination.The treatment is mainly surgical excision,and the prognosis is better.

关 键 词：腮腺 基底细胞腺瘤 唾液腺肿瘤 诊断 外科手术 

分 类 号：R739.6[医药卫生—肿瘤]