腮腺良性上皮性肿瘤的临床与病理分析

本文对62例腮腺良性上皮性肿瘤的临床资料、病理组织切片、手术方法及手术后随访结果进行了对比分析,观察到:(1)腮腺混合瘤包膜受细胞浸润,与病期长短、瘤体大小无关,但似与瘤体细胞成份多少有关,瘤体细胞成份多者,瘤细胞浸润包膜机会大;(2)曾手术复发病例的病理特征为多发灶,包膜多不完整,肿瘤内、细胞成份多,而初发病例术后复发者的病理特征常为单发灶,包膜不完整,肿瘤富于细胞;(3)腮腺混合瘤局部切除术有一定治愈率,用于初发病例、瘤体活动度大的老年患者及有心血管疾病者。

CLINICAL AND PATHOLOGICAL ANALYSIS OF BENIGN EPITHELIOMA OF PAROTID GLAND

The clinical data,the pathological section,the method of operation and the follow-up after operation in 62 cases with benign epithelioma of parotid gland were analysed.The results were as follows: 1.It bare no relation to the invasion of the capsule of the mixed tumor,the term of the disease and the size of the tumor.The more the cells presented in the tumor,the more chance the tumor cells infiltrated the capsule. 2.In the postoperative recurrent cases the pathological characteristic of recurrent tumors was of multiple loci,most of the capsules being not intact and rich in cells;while that of the primary tumor was always of single focus, uncomplete capsule and rich in cells. 3.There was a certain cure ratio by local excision.This operation was suitable for the primary cases, the older patients and those who suffered from cardiovascular disease with mobile tumor.