腮腺淋巴结结节病一例报告并文献复习

Parotid Lymphonode Sarcoidosis:One Case Report and Literature Review

目的:提高对腮腺淋巴结结节病的认识。方法:对1例病理确诊为腮腺淋巴结结节病患者的临床资料进行分析,并结合相关文献进行讨论。结果:结节病是一种原因不明的多系统疾病,以非干酪样坏死性肉芽肿炎症为主要病理特征。临床上大约90%的患者有肺部病变,单发于腮腺淋巴结罕见。该患者术前诊断为多形性腺瘤,手术切除后随访10年未复发。结论:腮腺淋巴结结节病患者易被误诊为肿瘤,病理活检对于结节病的确诊至关重要,手术切除是最有效的治疗方法。

Objective： To improve performance on the parotid lymphonode as the first symptom of sarcoidosis. Methods： The clinical data of one case of parotid lymphonodc biopsy diagnosed as sarcoidosis were analyzed, in conjunc- tion with relevant literature review. Result： Sarcoidosis is a systemic disease of unknown cause, which has noncaseating granulomas in biopsies as histologic demonstration. About 90% of patients were characterized by gramulomatous inflamma- tion of the lung, parotid lesions as the first symptom in patients was rare. The patient with parotid lymphonode sarcoidosis which was mistaken for pleomorphic adenoma before operation, had no recurrence after ten-year follow-up. Conclusion： Parotid lymphonode sarcoidosis is often misdiagnosed as tumor, lymphonode biopsy is indispensable and it is the most effective to discection the nodule.