1612例老年唾液腺肿瘤构成比分析

Clinical study of the proportion of salivary gland tumors in the elder patients

目的:了解老年人唾液腺肿瘤疾患的构成现状,为临床早期诊断和治疗提供依据。方法:回顾分析我科2000年1月—2009年12月10年间(21c10s)老年人唾液腺肿瘤住院患者的临床资料,并与20世纪90年代(20c90s)、80年代(20c80s)统计数据进行比较。结果:伴随着老年口腔颌面-头颈肿瘤患者住院人数的迅速增加,老年唾液腺肿瘤患者总数亦呈明显上升趋势,尤其是良性肿瘤患者数量快速上升。沃辛瘤首次成为最常见的老年唾液腺良性肿瘤。恶性肿瘤中,腺样囊性癌继续位居首位,而癌在多形性腺瘤中上升为第3位,并位居腮腺恶性肿瘤之首。小唾液腺良、恶性肿瘤构成比接近1∶1;而腭腺良、恶性比例倒置为1.34∶1。腮腺区发病仍最多见,其次为腭腺和下颌下腺。女性患者构成比有下降趋势。结论:21c10s老年唾液腺肿瘤构成现状与20c90s及20c80s资料有所不同,临床诊治工作中应注意其相应变化。

PURPOSE： To investigate the proportion of salivary gland tumors in the elder patients in the past ten years,in order to provide reference for clinical diagnosis and treatment.METHODS： The medical data of salivary gland tumors treated in our department from January 2000 to December 2009 were reviewed and analyzed.The changes of three periods between 21c10s,20c90s and 20c80s were compared.RESULTS： The number of salivary gland tumors in elder patients increased rapidly in recent years,especially that of benign tumors.Warthin’s tumor was the most common benign tumors,and adenoid cystic carcinoma was most often found in malignant tumors.Carcinoma ex pleomorphic adenoma rose to the third among malignant tumors of salivary gland and first among parotid gland malignancies.The proportion of benign tumor was almost equal to malignant tumor in minor salivary gland.The benign-malignant ratio of palatal salivary gland was 1.34：1,which was opposite to the previous figure.The parotid gland was the most common site,followed by palatal and submandibular gland.CONCLUSIONS： The proportion of salivary gland tumors in elder patients in 2000s was different from that in 1980s and 1990s.The changes should be taken into attention in daily clinical works.