慢性涎腺腫大症的臨床診斷與治療

Diagnosis and Treatment of Chronic Sialoadenosis

辛立仁(Li-Jen Hsin) ； 林婉妮(Wan-Ni Lin) ； 李立昂(Li-Ang Lee)

《台灣耳鼻喉頭頸外科雜誌》 55卷3期 (2020/09) Pp. 121-126

https://doi.org/10.6286/jtohns.202009_55(3).121

摘要

慢性涎腺腫大症意指主要唾液腺的反覆腫大，多發生於腮腺。本綜論主旨在於介紹成年病人發生此類非腫瘤性的唾液腺腫大疾患的診斷流程、可能成因以及治療方式等。臨床上從詳盡的病史詢問以及仔細的理學檢查，通常可以大致區分出唾液腺腫瘤與慢性涎腺腫大症。而頭頸部斷層掃描、核磁共振唾液腺攝影以及針對自體免疫疾病的抽血檢查可以提供進一步的鑑別診斷。針對此類疾患，治療性的唾液腺內視鏡為一精確的診斷工具並可以有效緩解症狀，使病人得以避免唾液腺切除的治療選擇。

關鍵字

sialoadenosis ； sialendoscopy ； major salivary gland swelling（涎腺腫大症 ； 唾液腺內視鏡 ； 主要唾液腺腫大）

並列摘要

Sialoadenosis is the repeated swelling of the major salivary glands, typically the parotids. Here, we have reviewed the relevant literature on diagnostic approaches, causes, and treatment options for nonneoplastic repeated swelling of major salivary glands in adults. Based on comprehensive history-taking and careful physical examination, clinicians should be able to differentiate sialoadenosis from neoplastic lesions. Head and neck computerized tomography, laboratory tests aiming at autoimmune diseases, and magnetic resonance sialography are all helpful for the differential diagnosis. Therapeutic sialendoscopy can provide accurate and effective treatments for symptom relief without excising the diseased glands.

並列關鍵字

sialoadenosis ； sialendoscopy ； major salivary gland swelling