120例口腔淋巴上皮囊肿临床分析

目的:探讨口腔淋巴上皮囊肿的临床表现、鉴别诊断、治疗和预后。方法:回顾性分析1993-2010年治疗的120例口腔淋巴上皮囊肿患者的临床资料,包括性别、年龄、部位、症状、体格检查、治疗和预后。结果:120例患者中,男37例,女83例;年龄2～75岁,平均44.1岁。病程2个月～10a,平均8个月,75.8%的患者少于6个月。病变常发部位是舌(50%)和口底(38.3%)。所有患者接受手术治疗。术后平均随访5.2a,无复发病例。结论:口腔淋巴上皮囊肿无特异性临床表现,其首选治疗为手术切除,预后较好。

Clinical analysis of 120 cases with intraoral lymphoepithelial cyst

PURPOSE: To analyze a single institution’s experience in the clinical management of intraoral lymphoepithelial cyst(LEC) based on clinical examinations differential diagnosis,treatment and prognosis.METHODS: From 1993 to 2010,a total of 120 consecutive patients with intraoral LEC undergoing surgery were retrospectively investigated with regards to gender,age,primary site,symptom,clinical examination,treatment and prognosis.RESULTS: Of the 120 patients,37 were males and 83 were females,their age ranged from 2 to 75 years with a mean age of 44.1 years.The course of disease ranged from 2 months to 10 years with a mean period of 8.0 months,and 75.8% of the patients had a course of disease shorter than 6 months.The most common location was the tongue(50%) and floor of mouth(38.3%).All patients underwent complete surgical removal of the lesions.During the follow-up period,no lesion recurred.CONCLUSIONS: The clinical characteristics of intraoral LEC are not specific and may be mixed with other intraoral lesions.The first choice of treatment is surgical excision,which results in a good prognosis.