颌下腺肿瘤100例临床病理分析

<正> 涎腺肿瘤在口腔颌面部的肿瘤中较为常见。文献对发生于腮腺的肿瘤讨论较多,而对颌下腺的肿瘤则研究较少。本文对我科1962年5月～1980年2月,18年中收治的100例颌下腺肿瘤作初步的分析。临床资料及病理分析 100例中男性61例,女性39例。良性肿瘤患者平均就诊年龄33岁(10～65岁),恶性肿瘤患者平均就诊年龄46岁(30～72岁)。以原发性肿块就诊者87例(87％)。以复发

A CLINICOPATHOLOGIC ANALYSIS OF 100 CASES OF SUBMANDIBULAR GLAND TUMOR

A clinicopathologic analysis of 100 cases of submandibular gland tumor was presented. 77％ were found to be benign tumor, in which 84.4％ (65/77) were mixed tumor. The other 23％ were malignant, of which 56％ were adenoid cystic carcinoma. Male patients were found to be more than female (61:39). Average age of patients with malignancy was greater than that of the benign. Thin needle aspiration biopsy examination was proceeded before operation on 20 cases, in which 90％ were in coincidence with pathological biopsy after operation. The former technique was thus shown to be beneficial to early diagnosis. Among the 65 mixed tumor patients, 49 cases were followed up with 2 recurrences. In the operative treatment of submendibular gland mixed tumor, we suggested that extracting tumors, together with submandibular glands, was a available method. As the adenoid cystic carcinoma and other maligment tumors appeared easy to recur, a submandibular radical operation should be taken. In cases that the mouth floor or mandibular bone had been involved, the contaminated part should be disected.