腺淋巴瘤78例临床分析

Chimeal analuysis of 78 cases of adenolymphomas

目的研究腺淋巴瘤的临床特点和预后。方法复习我院30年来手术治疗经病理诊证实并有完整资料的腺淋巴瘤78例，就其临床资料进行总结分析。结果男性71例，女性7例，男女比例为101：1，高发年龄是50－70岁（70.5％），肿瘤发生在腮腺的占96.1％，其中85.3％位于腮腺后下极，发生在颊部、腭部小涎腺和颈部淋巴结的各1例，生长有自限性。结论腮腺的腺淋巴瘤多发于50岁以上的中老年人，治疗上应采用区域性切除或保留面神经的腮浅叶和肿瘤切除，不宜采用剜除术。

Objective To invesigate the clinical characteristic and prognosis of adenolymphomas. Methods Seventy eight cases of adenolymphoma treated operatively, which were diagnosied pathologically, were reviewed and studied in therecent thirty years in the hospital. Results The male and female patients were 71 and 7 respectively. Their ratio were10. 1: 1. The peak was 50 - - 70 years old (70. 5 percent). The tumor occured mostly in the parotid regions (96. 1 percent). In these cases, 85. 3 percent were located postiorly and inferiorly. The tumor located in the region of buccal andpalate minor salivery gland and cervical lymph nodes was only one case respectively. The growth showed a self-limitedtendency. Concluion Adenolymphoma of the parotid mostly occurred at the age of more than 50 years old and should betreated by teh local resecton with adequate normal tissue or surperfical parotidectomy, which preseves facial nerve. Theenucleation is not suitable for this tumor.