同侧腮腺原发2种不同肿瘤1例及文献回顾  

Unilateral parotid gland Simultaneously primary two different pathological tumors:a case report and litera⁃ture review

作　　者：谢宏亮 汤剑明 张国权 XIE Hongliang;TANG Jianming;ZHANG Guoquan(Department of Oral and Maxillofacial Surgery,Stomatological Medical Center&Shenzhen People's Hospital&the First Affiliated Hospital of South University of Science and Technology&the Second Clinical Medical College of Ji’Nan University,Shenzhen 518020,China)

机构地区：[1]南方科技大学第一附属医院,暨南大学第二临床医学院,深圳市人民医院,口腔医学中心口腔颌面外科,广东深圳518020

出　　处：《口腔疾病防治》2024年第4期296-301,共6页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：深圳市科技计划项目(JCYJ20220530152406015)。

摘　　要：目的 探讨同侧腮腺内同时原发不同病理类型肿瘤的临床表现、组织病理学特点、诊断治疗及预后。方法 报道1例同侧腮腺内腺淋巴瘤和基底细胞腺瘤同时发生的病例,并结合文献对腮腺多原发肿瘤的诊疗进行回顾分析。结果 患者发现右腮腺区包块1个月,术前扪及右腮腺浅叶肿物,结合核磁共振检查诊断为右侧腮腺浅叶及深叶肿瘤。全麻下行右侧腮腺深叶及浅叶肿物和部分腺体切除术+面神经解剖术,术后病理报告右侧腮腺浅叶为腺淋巴瘤,深叶为基底细胞腺瘤伴囊变。手术效果良好,无并发症,术后随访1年未见复发。复习文献结果表明,腮腺多原发性肿瘤是指双侧或者单侧同时存在2种或以上的肿瘤。该疾病以手术治疗为主。结论 同侧腮腺内同时原发不同病理类型的肿瘤病例罕见,需完善影像学检查防止漏诊,手术为首选治疗方案,良性肿瘤预后良好。Objective To explore the clinical manifestations,histopathological characteristics,diagnosis,treatment,and prognosis of simultaneous unilateral primary tumors of different pathological types in the parotid gland.Methods A case of simultaneous unilateral primary parotid gland tumors,i.e.,adenolymphoma and basal cell adenoma,was re-viewed and analyzed in combination with the literature.Results The patient discovered a lump in the right parotid gland area one month prior to presentation,and a tumor was palpated in the shallow lobe of the right parotid gland before surgery.According to MR images,the initial diagnoses were tumors of the shallow and deep lobes of the right pa-rotid gland.The tumors of the deep and shallow lobes were excised with part of the gland,and the facial nerves were dis-sected under general anesthesia.Postoperative pathology revealed an adenolymphoma in the shallow lobe of the right pa-rotid gland and a basal cell adenoma with cystic transformation in the deep lobe.The surgical effect was good,with no complications,and there was no recurrence after 1 year of follow-up.A review of the relevant literature showed that mul-tiple primary tumors of the parotid gland can manifest as the simultaneous presence of two or more types of tumors on both sides or on one side,and the disease is mainly treated with surgery.Conclusion Multiple unilateral primary pa-rotid gland tumors are rare.Imaging examinations need to be combined with clinical evaluations to prevent missed diag-noses.Surgery is the first treatment option,and patients with benign tumors have a good prognosis.

关 键 词：腮腺 多原发性肿瘤 腺淋巴瘤 基底细胞腺瘤 细针穿刺活检 磁共振成像 术中冰冻病理 手术入路 包膜外切除 

分 类 号：R78[医药卫生—口腔医学]