HIV阴性多囊性腮腺淋巴上皮囊肿1例报道及文献回顾  

HIV negative polycystic lymphoepithelial cyst of parotid gland:A case report and literature review

作　　者：羊正林 罗飞扬 杨森[1] YANG Zhenglin;LUO Feiyang;YANG Sen(Medical Center of Stomatology,Suining Central Hospital,Suining 629000,China;Department of Anesthesiology,Suining Central Hospital,Suining 629000,China)

机构地区：[1]遂宁市中心医院口腔医学中心,遂宁629000 [2]遂宁市中心医院麻醉科,遂宁629000

出　　处：《口腔颌面外科杂志》2023年第5期343-346,共4页Journal of Oral and Maxillofacial Surgery

基　　金：四川省中医药管理局科学技术研究项目(2021MS100);四川省基层卫生事业发展研究中心项目(SWFZ20-C-086);四川省科技厅计划项目(2018FZ0113);四川省卫生健康委员会科技项目(2022JDXM021);遂宁市中心医院科研项目(2019y37)。

摘　　要：腮腺淋巴上皮囊肿(lymphoepithelial cyst,LEC)在临床上较为罕见且容易误诊,需与多种腮腺囊性病变鉴别。LEC被认为是人类免疫缺陷病毒(human immunodeficiency virus,HIV)阳性患者腮腺肿大的最常见病因,而在HIV阴性的腮腺肿物中占比极低。HIV阴性的LEC患者多表现为单侧腮腺单囊性病变,而腮腺区双侧或多囊性LEC则绝大多数见于HIV感染者。目前,LEC有多种治疗方式,结合文献分析,我们认为手术切除为LEC的首选治疗方式,硬化治疗及抗逆转录治疗对于HIV阳性者有较大意义,无治疗意愿者可保守观察。现报道1例我科收治的HIV阴性单侧多囊性腮腺LEC患者,临床上极为罕见。Lymphoepithelial cyst(LEC)of the parotid gland is a rare lesion and easily misdiagnosed in clinic,it should be differentiated with a variety of parotid gland cystic diseases.LEC is considered to be the most common cause of parotid gland enlargement in human immunodeficiency virus(HIV)-positive patients,while its proportion is extremely low in HIV-negative parotid neoplasms.HIV-negative LEC patients are most likely to present as unilateral and unilocular parotid gland lesion,while bilateral or polycystic LEC of parotid gland is mostly seen in HIV-infected patients.Currently,there are a variety of treatment methods for LEC.With the literature review,we believe that surgical resection is the preferred treatment method for LEC,sclerotherapy and antiretroviral therapy are of great significance for HIV-positive patients,while conservative observation can be taken for those without treatment intentions.Recently,a HIV-negative patient with unilateral polycystic parotid LEC was admitted to our department,which is extremely rare in clinic and the report is as follows.

关 键 词：腮腺 淋巴上皮囊肿 腮腺囊肿 人类免疫缺陷病毒 

分 类 号：R782[医药卫生—口腔医学]