颈部涎腺恶性肿瘤的临床特点分析  

Clinical analysis of malignant tumors of salivary gland in neck

作　　者：韦文浩 徐西伟[2] Wei Wenhao;Xiwei(Department of Oncology and Hematology^Kaiyuan Langdong Hospital of Guangxi Medical University,Nanning, Guangxi 530021, China;Department of Head and Neck 0ncology,No.5 Affiliated Hospital of Sun Yat-sen University,Zhuhai, Guangdong 519000,China)

机构地区：[1]广西医大开元垠东医院肿瘤科、血液科,广西南宁530021 [2]中山大学附属第五医院头颈肿瘤科,广东珠海519000

出　　处：《医药前沿》2019年第7期36-37,共2页Journal of Frontiers of Medicine

摘　　要：目的:分析头颈部涎腺恶性肿瘤的临床发病情况和分布特点。方法:选择2015年10月一2018年10月收治的105例头颈部涎腺恶性肿瘤患者,分析患者的临床资料,总结其发病特点。结果:头颈部涎腺恶性肿瘤病例中,女性占67.6%显著高于男性32.4%,具有统计学意义(P<0.05);患者主要发病部位分布在腮腺、颌下腺、腭部、舌下腺和颊部等,其中,发病部位前三名的为腮腺、颌下腺、腭部,占比分别为46.7%、24.8%、13.3%;发病最高的病例类型为粘液表皮样癌,占比35.2%,其次为腺样囊性癌,占比23.8%,腺癌,占比16.2%;发病最高的年龄段为30~60岁,占为60.0%。结论:头颈部涎腺恶性肿瘤的分布范围较广,主要分布在腮腺、颌下腺、腭部等部位,且其病理分型较多,最常见的为粘液表皮样癌,临床可根据这些特征尽早对患者进行确诊和行针对性治疗,才能提高患者的预后生存质量。Objective To analyze the clinical incidence and distribution of malignant salivary gland tumors in head and neck. Methods The clinical data of 105 patients with head and neck salivary gland malignant tumors admitted to the Department of Head and Neck Oncology of the Fifth Affiliated Hospital of Sun Yat-sen University from October 2015 to October 2018 were retrospectively analyzed, and the pathogenic characteristics were summarized.Results The incidence of female was 67.6%, which was significantly higher than that of male 32.4%(P < 0.05).Parotid gland,submandibular gland,palate,sublingual gland and cheek were the main sites of the disease.The top three sites were parotid gland(46.7%), submandibular gland(24.8%) and palate(13.3%).The highest incidence was mucoepidermoid carcinoma(35.2%),followed by adenoid cystic carcinoma(23.8%) and adenocarcinoma(16.2%).The age group with the highest incidence was 30-60 years old(60.0%).Conclusions Malignant tumors of the head and neck salivary glands are widely distributed in parotid gland, submandibular gland, palate and so on. There are many pathological types of malignant tumors. The most common malignant tumors are mucoepidermoid carcinomas.According to these characteristics, early diagnosis and targeted treatment can improve the prognosis and quality of life of patients.

关 键 词：头颈部 涎腺恶性肿瘤 临床资料 

分 类 号：R739.87[医药卫生—肿瘤]