儿童腮腺肿瘤临床分析

Clinical analysis on pediatric parotid gland tumors

目的探讨儿童腮腺肿瘤的发病情况、病理特点及诊疗方案。方法对1980～2001年收治的57例经病理确诊的16岁以下腮腺肿瘤患者的病案资料进行回顾性分析。其中男27例,女30例。良性肿瘤42例(73.6%),恶性肿瘤15例(26.3%)。57例中,46例经手术治疗,恶性肿瘤患者术后均未进行放疗。结果血管瘤及血管畸形治愈19例,复发5例;多形性腺瘤治愈9例,复发3例;恶性肿瘤无1例复发,10年生存率88%。结论儿童腮腺肿瘤中血管瘤及血管畸形最常见,上皮性肿瘤中恶性肿瘤所占比例接近50%,应引起重视。

OBJECTIVE To evaluate the clinical and pathological characteristics and operative approach of parotid gland tumors in children. METHODS The clinical data of 57 children with parotid gland tumors treated in our hospital from 1980 to 2001 were retrospectively studied. In 57 children, 42 cases had benign tumor （73.6 %） and 15 cases had malignant tumor （26.3 %）. Forty-six cases underwent operation. No cases with malignant tumors received postoperative radiotherapy. RESULTS Nineteen cases with hemangioma and vascular malformation were cured, 5 cases recurred. Nine cases with pleomorphic adenomas were cured and 3 recurred. No recurrence were found in children with malignant tumors, and the 10 year survival rate was 88 %. CONCLUSION Among parotid gland tumors in children, hemangioma and vascular malformaUon are the commonest diseases. Near half of the epithelial tumors of parotid gland in children were malignant tumors.