- 期刊
腮腺腫瘤－70例之臨床分析
Parotid Tumors - Clinical Analysis of 70 Cases
摘要
台中榮民總醫院耳鼻喉科自民國72年3月至78年8月止，7年間共收集了70個腮腺腫瘤的病例，依性別、年齡、腫瘤大小、主訴、病史、診斷方法、治療、病理、併發症及復發情形等加以分析探討。結果發現：患者年齡自16歲至88歲，男與女的比例為1.4：1。病史超過2年以上者良性居多。就診時的腫瘤大小以2～4cm 占大多數。絕大部分的患者除呈現腫塊外無其他伴隨症狀，然若伴有難以解釋的耳痛或顏面疼痛，則應懷疑有惡性的可能。疾病的治療以手術為主，其中又以腮腺淺葉切除術為多。病理方面，良性腫瘤占85％，其中以混合瘤（mixed tumor）和Warthin氏瘤最常見；惡性腫瘤以粘液類上皮癌（mucoepidermoid carcinoma）和腺樣囊狀癌（adenoid cystic carcinoma）為多，各占4％。術後併發症甚少，主要為出現暫時性顏面神經麻痺，均不需特別治療而自然痊癒。混合瘤術後復發率為15％，皆僅施以腫瘤摘出術（enucleation）而已，顯見腫瘤摘出術不適當，而腮腺淺葉切除術才是較適當的手術方法。
並列摘要
The prevalence of parotid gland tumor is about 4% among head and neck tumors. Our series consisted of 70 cases of parotid gland tumors diagnosed during 1983 – 1989. The sex, age and the chief complaints of patients, the history, diagnostic procedure, treatment, pathology, complication and recurrence of the deisease are discussed. In our series, the male to female ratio was approximately 1.4:1 and age distribution ranged from 16 years to 88 years. There were a few cases of malignancy if the history lasted over 2 years; two to four centimeters were the most common sizes of tumors at the time of diagnosis. The most common symptom was a bulky mass in the parotid area. Malignancy was considered if the mass was combined with unexplained otalgia or facial pain. The main treatment was by surgery and the most common procedure was superficial parotidectomy. Benign tumors comprised 85% of the cases in this series with mixed tumor and War-thin’s tumor being the most common. Mucoepidemoid carcinoma and adenoid cystic carcinoma were the most common type of malignancy, each comprising 4% of this series. Facial weakness was the most common surgical complication which recovered spontaneously and did not need any treatment. Recurrence rate of mixed tumors was 15%, which suggested that enucleation was insufficient treatment for mixed tumors and superficial parotidetomy should preferably be employed.