涎腺淀粉样变临床报告及文献复习  

Clinical report and literature review on the amyloidosis of salivary glands

作　　者：姚小武[1] 陈仕生[1] 卢子正[1] 林敏校[1] YAO Xiaowu;CHEN Shisheng;LU Zizheng;LIN Minxiao(Department of Stomatology,The Second Affiliated Hospital,Medical College of Shantou University,Shantou 515041,China)

机构地区：[1]汕头大学医学院第二附属医院口腔科,广东汕头515041

出　　处：《口腔疾病防治》2018年第8期533-536,共4页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：广东省自然科学基金项目(S2011010005106);广东省科技计划项目(2013B021800260)

摘　　要：涎腺淀粉样变罕见,本文报道了1例62岁的男性病例,因口底逐渐肿胀凸起20年而使舌抬高,影响吞咽、发音和舌的运动,临床检查发现患者口底巨大肿块,唇和颊黏膜有多个黄豆大小的淡黄色硬结节。手术切除舌体下方和舌根前方肿块。经病理检查和刚果红染色诊断为颌下腺、舌下腺淀粉样变。随访5年未见复发。本文就相关问题进行文献复习。Amyloidosis of salivary glands is a rare disease. The case of a 62-year-old male patient with 20 years of progressive swelling of the floor of the mouth and raising of the tongue that impacted the swallowing, phonation, and tongue movement of the patient is reported in this paper. Clinical examination revealed a large mass in the floor of the mouth. The lip and cheek mucosae had a considerable number of hard, soybean-sized, light-yellow nodules. The surgical removal of the mass under and in front of the tongue was performed. A pathology examination and Congo red staining confirmed the diagnosis of amyloidosis of the submandibular glands and sublingual glands. No recurrence was observed after 5 years of follow-up. The literature on the relevant problems was reviewed.

关 键 词：淀粉样变 涎腺 口底 

分 类 号：R781.7[医药卫生—口腔医学]