小涎腺肿瘤的诊断与治疗

目的探讨小涎腺肿瘤的诊断与治疗。方法对本院1998～2003年收治的经病理检查确诊的60例小涎腺肿瘤患者的诊断与治疗进行了回顾性分析。结果60例口腔小涎腺肿瘤中,良性肿瘤26例占43.33%,恶性肿瘤34例占56.67%,良性肿瘤中的混合瘤多见,占良性肿瘤的69.23%,恶性肿瘤中以黏液表皮样癌为多,共14例,占恶性肿瘤的41.18%,手术 放疗者占恶性肿瘤的38.24%,5年生存率为34.48%。结论小涎腺肿瘤中恶性肿瘤多于良性肿瘤;术前X线检查和术中冰冻病理检查对诊断和治疗有指导意义;首次手术彻底性是防止复发的关键,术后辅助性放疗可降低恶性肿瘤复发率。

Diagnosis and therapy of minor oral salivary gland tumor

Objective To study the diagnosis and therapy of minor oral salivary gland tumor.Methods A retrospective analysis on 60 cases of oral salivary gland tumor from 1998 to 2003 with a confirmed pathologic diagnosis was carried out inour hospital.Results In 60 cases of oral salivary gland tumor,26 cases were benign(43.33%),34 cases malignant(56.67%).Among benign cases,most of them were mixed tumor,accounting for 69.23%,meanwhile malignant were mucoepidermoid,accounting for 41.18%.The rate of combined surgery with postoperative radiotherapy of the malignant cases was 38.24%,and the five-year survival rate was 34.48%.Conclusion In 60 cases of oral minor salivary gland,malignant cases are more than benign cases,pre-operative X-ray and during-operative pathological examinations have great value in diagnosing and treating.The first radical operation is the key to prevention of recurrence of monior salivary gland tumor,and post-operative radiotherapy can reduce the rate of the recurrence.