涎腺导管癌4例临床病理分析并文献复习

The pathological analysis of salivary duct carcinoma and literature review

目的探讨涎腺导管癌(SDC)的病理特点,为临床诊断提供帮助。方法结合2005年1月至2007年6月中国医科大学口腔医学院收治的4例SDC患者的临床资料,复习国内文献中其余56例病例,对比分析SDC的临床特点。结果SDC以腮腺多见,男性多于女性,神经受累现象出现较早,淋巴结及远隔转移多见。结论SDC是一种高度恶性肿瘤,临床应注意鉴别诊断。

Objective To study the pathological characteristics of the salivary duct carcinoma and to give a useful clue to diagnosis.Methods Four patients from our clinical practice and fifty six patients from other hospitals were reviewed.Results The incidence of salivary duct carcinoma was the highest in parotid gland;the males were much more than the females;nerve involvement appeared earlier;lymph lode and distant metastasis were most common.Conclusion Sali-vary duct carcinoma is highly malignant,and the differentiated diagnosis should be acquired in clinical practice.