小涎腺肿瘤60例临床分析

Analysis on 60 cases of minor oral salivary gland tumor

目的 探讨小涎腺肿瘤的发病情况 ,临床特点及诊断治疗。方法 对 1 980～ 1 995年间收治的经病理确诊的 60例小涎腺肿瘤的年龄、性别、好发部位、诊断、治疗等进行了回顾性综合分析。结果 60例口腔小涎腺肿瘤 ,良性肿瘤 2 6例占 43 .33 % ,恶性肿瘤 34例占 56 .67% ,良性肿瘤中的混合瘤多见占良性肿瘤的 69.2 3 % ,恶性肿瘤中以黏液表皮样癌为多 ,1 4例占恶性肿瘤的 41 .1 8% ,手术 +放疗者占恶性肿瘤的 38.2 4 % ,5年生存率为 68.97%。结论 小涎腺肿瘤中恶性肿瘤多于良性肿瘤。术前X线检查和术中冰冻病理检查对诊断和治疗方案有指导意义。首次手术彻底性是防止复发的关键。

Objective To analyse the clinical and pathological characterstics of minor oral salivary gland tumor.Methods A retrospective analysis on 60 cases of oral minor salivary gland tumor from 1980～1995 with a confirmed pathologic diagnosis was carried out.Results In 60 cases of minor oral salivary gland tumor,26 cases were benign(43.33%),34 cases malignant(56.67%).Among benign cases,most of them were mixed tumor,accounting for 69.23%,meanwhile malignant were mucoepidermoid carcinoma,accounting for 41.18%.The rate of combined surgery with postoperative radiotherapy of the malignant cases was 38.24%,and the five year survival rate was 68.97%.Conclusion In 60 cases of oral minor salivary gland,malignant cases are more than benign cases,pre operative X ray and during operative pathological examinations have great value in diagnosing and treating.The first radical operation is the key to prevention of recurrence of monior salivary gland tumor,and post operative radiotherapy can reduce the rate of the recurrence.