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| 唾液腺肌上皮癌13例临床分析 | |
| 引用本文： | 卢若煌,唐瞻贵,苏彤,全宏志,朱文渊,甘平平. 唾液腺肌上皮癌13例临床分析[J]. 上海口腔医学, 2011, 20(6): 615-618 |
| 作者姓名： | 卢若煌 唐瞻贵 苏彤 全宏志 朱文渊 甘平平 |
| 作者单位： | 1. 中南大学湘雅三医院口腔科,湖南长沙410013;中南大学湘雅医院口腔颌面外科,湖南长沙410008 2. 中南大学湘雅医院口腔颌面外科,湖南长沙,410008 3. 中南大学湘雅医院肿瘤科,湖南长沙,410008 |
| 基金项目： | 国家自然科学基金(30872895); 湖南省科技厅计划重点项目(2008FJ2011) |
| 摘 要： | 目的:回顾性分析13例唾液腺肌上皮癌的临床资料,为进一步提高诊断及治疗水平提供参考。方法:对1992年2月—2010年9月诊治的13例唾液腺肌上皮癌病例,从生物学行为、诊断、治疗和预后方面进行回顾分析。结果:13例病例中,男6例,女7例,中位年龄40岁,发病部位以腮腺(53.8%)最多见;临床误诊7例,病理误诊2例;全部行手术治疗,术后化疗2例、放疗5例;发生颈淋巴转移4例(30.8%),远处转移2例(15.4%);随访3个月～6a,复发或转移致死亡6例。结论:唾液腺肌上皮癌较罕见,易误诊,确诊依赖病理学及免疫组化检查,易远处转移,T3～T4期颈淋巴转移率较高;治疗方法为以根治性手术为主的综合治疗,T3～T4 cN0期唾液腺肌上皮癌应考虑选择性颈淋巴清扫术,术后放、化疗的效果有待进一步研究。 |
| 关 键 词： | 肌上皮癌 唾液腺 临床表现 误诊 治疗 预后 |
Myoepithelial carcinoma of salivary glands: a clinical analysis of 13 cases |
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| LU Ruo-huang , TANG Zhan-gui , SU Tong , QUAN Hong-zhi , ZHU Wen-yuan , GAN Ping-pint. Myoepithelial carcinoma of salivary glands: a clinical analysis of 13 cases[J]. Shanghai journal of stomatology, 2011, 20(6): 615-618 | |
| Authors: | LU Ruo-huang TANG Zhan-gui SU Tong QUAN Hong-zhi ZHU Wen-yuan GAN Ping-pint |
| Affiliation: | LU Ruo-huang1,2,TANG Zhan-gui2,SU Tong2,QUAN Hong-zhi2,ZHU Wen-yuan2,GAN Ping-ping3.(1.Department of Stomatology,Third Xiangya Hospital,Central South University.Changsha 410013,2.Department of Oral and Maxillofacial Surgery,3.Department of Clinical Oncology,Xiangya Hospital,Central South University.Changsha 410008,Hunan Province,China) |
| Abstract: | PURPOSE:This study retrospectively analyzed the clinical data of 13 patients with myoepithelial carcinoma of salivary glands for improving the accuracy of diagnosis and treatment outcome.METHODS: Thirteen cases with myoepithelial carcinoma of the salivary glands in Xiangya Hospital from January 1992 to September 2010 were reviewed,including the clinical biological behavior,diagnosis,treatment and prognosis.RESULTS: Thirteen patients included 6 men and 7 women,aged from 14 to 71 years(median 40 years).The tu... |
| Keywords: | Myoepithelial carcinoma Salivary gland Clinical manifestation Misdiagnosis Therapeutics Prognosis |
| 本文献已被 CNKI 万方数据 PubMed 等数据库收录！ | |