摘要
目的了解涎腺恶性多形性腺瘤的临床特征、治疗和预后。方法24例经病理证实的涎腺恶性多形性腺瘤,对其诊断、治疗以及生存率进行分析。结果恶性多形性腺瘤患者总的5年生存率为66.7%,其中发生于大涎腺者5年生存率为63.6%,发生于小涎腺2例均存活5年以上。结论治疗首选手术,提倡首治行规范切除,位于颌下腺者建议行预防性颈清扫;术后补充放疗不提高局部控制率。
Objective To study the clinical characteristics, treatment and prognosis 24 cases of carcinoma in pleomorphic adenoma in salivary gland. Methods The clinical data of 24 patients with carcinoma in pleomorphic adenoma treated in our hospital from September 1974 to July 1995 were analyzed. Results The overall 5-year survival rate was 66. 7% . The five-year survival rates of patients with carcinoma in pleomorphic adenoma in the major and minor salivary glands were 63.6% and 2/2, respectively. Conclusion Operation is the optimal treatment and extensive resection at the initial operation is suggested. For lumps in the submaxillary gland, preventive neck dissection should be considered. Postoperative radiotherapy can not improve the local-control rate.
出处
《中华肿瘤杂志》
CAS
CSCD
北大核心
2003年第1期91-93,共3页
Chinese Journal of Oncology
关键词
涎腺肿瘤
肿瘤切除术
淋巴结清扫术
放射疗法
Salivary gland neoplasms/therapy
Salivary gland neoplasms/diagnosis
Prognosis