腮腺Warthin瘤146例临床分析

目的：分析Warthin瘤的临床特点,探讨Warthin瘤的诊断与手术治疗方法。方法：对我院近20年来收治的146例经手术治疗的Warthin瘤病例的临床资料进行回顾性分析。结果：男性143例,女性3例,发病高峰年龄为60-70岁,占65.75%。肿瘤位于后下极者101例,占69.18%。96.58%的患者有吸烟史,14.38%的患者有消长史。术前细针穿刺细胞学检查82例,诊断准确率为93.90%。手术方式有腮腺区域性切除术、腮腺浅叶切除术和全腮腺切除术。12例失访,其余患者随访1-20年均未见复发。结论：腮腺Warthin瘤主要发生在50岁以上男性患者。在发病情况、临床表现等方面具有自身的特点。术前细针穿刺细胞学检查可明确诊断。治疗应根据肿瘤的位置、大小的不同情况而采取不同的手术方式,肿瘤位于腮腺后下极者采用区域性切除术是理想选择。

Clinical analysis of 146 cases of Warthin tumor

Objective：To analyze the clinical features of Warthin tumor（WT）and to evaluate the diagnosis and surgical management for Warthin tumor.Methods：The clinical data of 146 cases of Warthin tumor in recent 20 years was analyzed retrospectively.Results：There were 143 male cases and only 3 female cases.The predilection was 60-70 years old（96 cases,65.75%）.The lower portion of parotid gland region accounted for 69.18%（101cases）.96.58%had smoking history,14.38%had tumor growth and decline history.Fine-needle aspiration cytology（FNAC） was performed in 82 cases,the diagnostic accuracy was 93.90%.Patients were treated with region resection or superficial parotidectomy or total parotidectomy.12 cases failed to follow up,the rest followed up 1-20 years,no recurrence was found.Conclusion：Warthin tumor mainly occured in male patients older than 50.The cause and clinical presentation of WT have specialty.FNAC can help to confirm WT before operation.The type of surgical method should be determined by the size,location and number of the tumor.Region resection is an ideal surgical modality for the tumours locating in the inferior pole of parotid gland.