涎腺癌的病理特征与预后

Pathological Features and Prognoses of the Carcinoma of Salivary Gland

本文报道涎腺癌１６０例，全部行手术切除、病理检查。其中５年以上随诊１２８例，１０年以上１１０例，重点分析形态学特征与存活率的关系。粘液表皮样癌５年存活率６９．２％，低于多数报道。腺样囊性癌５年存活率７４．１％，两者的分化程度与预后无关。腺癌５年存活率７１．４９％，组织学分级与预后有肯定关系。恶性混合瘤５年存活率为７０．４％，淋巴结转移与预后有肯定关系。腺泡细胞癌７例，５年全部存活，其结果高于其他报道。

n this reports,the samples were obtained from 160 cases of carcinoma of salivary gland by operation,128 cases had been follow-up for 5 years and 110 cases for 10 years. The relationships between the morpho-logical features and the survival rates were analyzed emphatically. The 5-year survival rates of mucoepider-mlid carcinoma 、adenoid cystic carcinoma 、adenocarcinoma、Malignant mixed tumor andacinar cell carcino-ma were 69.2%、74.1%、71.4%、 70.4%and 100%respectivel.In mucoepdermoid carcinoma and ade-noid cystic carcinoma ,the histological differentiation degrees had no relation to the prognosis. However,thehistological grade of adenocarcinoma was related to the prognosis, and the lymphatic metastasiS of malignentmixed tumor could also affect the survival of patients.