104例涎腺肿瘤的临床分析

通过分析104例涎腺肿瘤的临床表现、诊断及治疗,发现男女患者的比值为1:1.21;良性肿瘤80例,占76.9％;恶性肿瘤24例,占23.0％;良性肿瘤多见于21～50岁组(63.25％),主要为混合瘤、腺淋巴瘤;恶性肿瘤多见于51～60岁组(58.33％),主要为粘液表皮样癌、恶性混合瘤、腺样囊性癌;肿瘤的好发部位依次为:腮腺部、颌下腺部、小涎腺部及舌下腺部。其中腮腺及颌下腺部良性肿瘤高于恶性肿瘤;小涎腺中的恶性肿瘤比重大大增加。诊断中强调了细针吸细胞学检查的价值,并对肿瘤的手术原则及预后作了讨论。

Clinical Analysis of 104 Cases of Salivary Gland Tumors

By analysising the clinical manifestations,diagnosis and treatment of 104 cases of salivary gland tumors, we found that the ratio of male patients to female ones was 1 : 1. 21. Among them,80 cases (76.92%) suffered from benign tumors while 24(23.08%) malignant. Benign tumors were usually seen in the group aging 21~50(62. 25%) as mixed tumor and adenolymphoma; While malignant ones were majorly observed in the group aging 51-60(58. 33%) as mucoepidermoid carcinoma , malignant mixed tumor and adenoid cystic carcinoma sequentially,the cites of tumors were as the following : parotid glands ,submandibu-lar glands ,minor salivary glands and sublingual glands. As for parotid glands and submandibular glands ,the incidence of benign tumors in higher than that of malignant ones: However,much more malignancies attack minor salivary glands. During the diagnosis the value of the fine needle aspration cytopathological examination was stressed. Besides,the surgical principles and prognosis were discussed.