86例上颈部占位病变的临床病理分析 |
| |
引用本文: | 丁月峰,周培刚,顾永春,陈悦. 86例上颈部占位病变的临床病理分析[J]. 医学临床研究, 2011, 28(1): 87-88 |
| |
作者姓名: | 丁月峰 周培刚 顾永春 陈悦 |
| |
作者单位: | 江苏省吴江市第一人民医院口腔科,江苏,吴江,215200 |
| |
摘 要: | 【目的】探讨上颈部占位病变的临床病理类型及特点。【方法】回顾性分析86例上颈部占位病例的临床病理资料。【结果]86例患者中,颌下腺来源42例,其中肿瘤性病变27例(24例良性肿瘤和3例恶性肿瘤),涎石症15例。囊性病变共25例,包括11例甲状舌骨囊肿,7例鳃裂囊肿,4例(表)皮样囊肿,1例囊性水瘤,1例舌下腺囊肿及1例颈淋巴脓肿。另有7例颈淋巴结转移癌,5例恶性淋巴瘤,脂肪瘤4例以及血管瘤、神经鞘瘤、淋巴组织反应性增生各1例。【结论】上颈部占位病变临床病理类型多样,良恶性病变各占一定的比例,结合临床病史、体检、辅助检查(B超,CT,MRI等)及针吸活检一般可确诊,少数病例需切取或切除活检以明确诊断。
|
关 键 词: | 头颈部肿瘤/病理学 |
Clinical Pathological Analysis of 86 Cases with Upper Neck Occupying Lesion |
| |
Affiliation: | DING Yue- f eng , ZHOU Pei gang, GU Yong-chun , et al (First People's Hospital of Wujiang , Jiangsu 215200, China ) |
| |
Abstract: | [Objective] To explore the clinical pathological types and features of upper neck occupying lesions. [Methods] Clinical pathological data of 86 cases of upper neck occupying lesions were analyzed retro- spectively. [Results] Among these 86 cases, 42 cases came from submaxillary salivary gland, including 24 benign tumors, 3 malignant tumors and 15 salivary calculus, and 25 cases were cystic diseases, including 11 thy- roglossal cysts, 7 branchial cleft cysts, 4 (epidermoid) dermoid cysts, 1 cystic hydroncus, 1 sublingual gland cyst and 1 cervical lymph abscess. In addition, there were 7 cases of cervical lymph metastatic carcinoma, 5 malignant lyrnphoma, 4 liparomphalus, 1 haemangioma, 1 neurilemmoma and 1 lymphoid tissue reactive hyperplasia. [Conclusion] Clinical pathological characteristics of upper neck occupying lesions are manifold. Benign and malignant diseases account for a certain proportion respectively. And diagnosis can be finally identified according to clinical history, medical examination, aspiration-needle biopsy and auxiliary examination, ineluding B-ultrasound, CT and MRI. Biopsy should be performed for few cases in order to identify the diagnosis. |
| |
Keywords: | head and neck neoplasms/PA |
本文献已被 维普 万方数据 等数据库收录! |
|