孩童腮腺腫塊之臨床分析

背景：孩童腮腺腫塊雖不常見，但診斷及手術治療較具挑戰性。本研究主要目的在探討孩童腮腺腫塊的種類、治療與結果。方法：自1992年7月至2003年7月，高雄榮民總醫院收集21例18歲以下接受手術切除之腮腺腫塊病患，進行回溯性分析。結果：21例病患中，14例男性，7例女性。年齡從2歲到18歲，平均年齡12.9歲；其中15例為10歲以上。無痛性腫塊為最常見症狀。9例為感染或發炎性，2例為先天性，8例為良性腫瘤，2例為惡性腫瘤。良性腫瘤中以多形性腺瘤及血管瘤居多，惡性腫瘤都屬低度性黏膜上皮癌。最常採取的手術方式為腮腺淺葉切除；手術併發症最常見為暫時性顏面神經麻痺及Frey's 症候群。結論：孩童腮腺腫塊病理診斷有多種可能性，其中以良性居多。適當的孩童腮腺手術相當安全、併發症少且復發率低。

關鍵字

腮腺；孩童；腮腺切除

並列摘要

BACKGROUND: Pediatric parotid masses are uncommon, which makes their diagnosis and treatment challenging. This study aimed to evaluate the types, treatments and outcomes of parotid masses in children. METHODS: Twenty-one children with parotid masses receiving surgical treatment in Kaohsiung Veterans General Hospital from July 1992 to July 2003 were retrospectively reviewed. RESULTS: The 21 patients (14 boys and 7girls) had a mean age of 12.9 years (range 2-18). A painless mass was the most common presentation. Nine patients had infectious or in flammatory lesions, two had congenital lesions, eight had benign neoplasms, and two had malignant tumors. The most common benign tumors were pleomorphic adenoma and hemangioma. Both malignant lesions were low-grade mucoepidermoid carcinoma. The most common treatment was superficial parotidectomy. The most common surgical complications were temporary facial nerve paresis and Frey's syndrome. CONCLUSIONS: Parotid masses in children present a variety of pathological manifestations, although most are benign. Proper pediatric parotid surgery results in minimal morbidity, few complications and a low recurrence rate.

並列關鍵字

parotid ； children ； parotidectomy

國際替代計量

孩童腮腺腫塊之臨床分析

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