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腮腺warthin瘤79例临床分析

The clinical analysis of adenolymphoma of parotid gland(79 cases)

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【作者】 张建成张洪杰龙丽

【机构】 天津市口腔医院颌面外科

【摘要】 <正>目的:分析warthin瘤的发病原因,探讨warthin瘤的治疗原则。方法:分析我院近十年住院病例资料,warthin瘤患者79例,按性别、年龄、部位、大小、病史、有无吸烟史、有无消长史及术式分类统计,得出相关结论。结果:在662例腮腺肿瘤患者中,warthin瘤79例,占11.9%。79例、warthin患者,男性67例,女性12例,男:女=5.6:1;年龄最大者83岁,最小者34岁,平均年龄59.6岁;其中50岁以上者66 例,占83.5%;60岁以上者39例,占49.4%:70岁以上者11例,占13.9%。发病高峰为60-70岁,

【Abstract】 PURPOSE: To explore the cause and treatment of adenolymphoma of parotid gland. METHODS: 79 cases of adenolymphoma of parotid gland who received treatment in our hospital during 10 years were reviewed. The clinical characteristics including gender, Age, size distribution Location, case history ,smoking history and treatment were analyzed. RESULTS: Adenolymphoma were 79 cases in all 662 cases of parotid gland tumor (11.9%). The ratio of male to female patients was 5.6:1(67 to 12). Age from 34 to 83, mean age was 59.6. Patients whose age older than 50 years were 66 case (83.5%). Patients whose age older than 60 years were 39 cases (49.4%). Patients whose age older than 70 years were 11 cases (13.9%). The main affected age ranged from 60 to 69) 35.4%. The lesion appears to occur most frequently in the behind-underside parotid gland region. Most of tumor was bigger than 3cm (82%). secondly was bigger than 6cm (18%). The others was bigger than 10cm (3%). Most of patients had smoking history (82%).24.2% patients had growth and decline. Most of patients were treated with resection en bloc. 10 cases were treated with region resection. No tumor recurrence was found. CONCLUSION: Compared with literature from professor yu guangyan, adenolymphoma of parotid gland increased from 10.3% to 11.9%. Female patients increased obviously(6.1:1 to 5.6:1). The age of patients trend to older(50-59 to 60-69). Most of patients had smoking history.The increased incidence of adenolymphoma of parotid gland may be related to the rising propotion of smoking people in china. The rule of treatment was region resection tumor and lymphoma with canula of parotid gland remained.

  • 【会议录名称】 第三次全国涎腺疾病学术会议论文汇编
  • 【会议名称】第三次全国涎腺疾病学术会议
  • 【会议时间】2006-10
  • 【会议地点】中国陕西西安
  • 【分类号】R739.87
  • 【主办单位】中华口腔医学会口腔颌面外科专业委员会涎腺疾病学组
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