腮腺Warthin瘤64例临床研究.docVIP

腮腺Warthin瘤64例临床研究[摘要] 目的：分析Warthin瘤的临床特点，探讨Warthin瘤的手术治疗方法。方法：对我院近年来收治的64例Warthin瘤病例的临床资料进行回顾性分析。结果：在392例腮腺肿瘤患者中，Warthin瘤64例，占13.8%。其中，男性46例，女性8例，男∶女=5.8∶1；年龄46～75岁，发病高峰年龄为60～70岁，共28例，占51.9%。部位：在后下极占86%，耳前占11%，其他部位占3%。84.4%的患者有吸烟史，28.1%的患者有消长史。行腮腺浅叶切除及腮腺区域性切除术，随访1～7年均未见复发。结论：腮腺Warthin瘤主要发生在50岁以上男性患者。在发病情况、临床表现等方面具有自身的特点，治疗应根据肿瘤的位置、大小的不同情况而采取不同的手术方式。 [关键词] 腮腺；腺淋巴瘤；外科手术；区域性切除术 [中图分类号] R739.81[文献标识码]Ａ [文章编号]1673-7210（2009）03（c）-044－02 Clinical analysis of 64 cases of Warthin tumor YI Xiaohui, ZHANG Shubiao, GAO Ping, YU Weiming, LIU Xiaofeng (Department of Stomatology, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou510120, China) [Abstract] Objective: To analyze the clinical features of Warthin tumor and to evaluate the surgical management for Warthin tumor. Methods: The clinical data of 64 cases of Warthin tumor in recent 8 years was analyzed retrospectively. Results: There were 64 cases(13.8%) of Warthin tumor in all 392 cases of parotid gland tumor.The ratio of male to female patients was 5.8∶1(46∶8).Age ranged from 46 to 75.The predilection was 60-70 years old(28 cases,51.9%).Location：the lower portion of parotid gland region accounted for 86%, preauricula accounted for 11%,other positions accounted for 3%.84.4% had smoking history,28.1% had tumor growth and decline history. Patients were treated with region resection or enbloc resection. Followed up 1-7 years, no recurrence was found. Conclusion: Warthin tumor mainly occurs in male patients older than 50. The type of surgical method should be determined by the size,location and number of the tumor. [Key words] Parotid gland; Adenolymphoma; Surgery operation; Region resection 沃辛瘤（Warthin瘤）又称为腺淋巴瘤或乳突状淋巴囊腺瘤，约90%发生于腮腺，7.6%位于颈部淋巴结，2.3%位于颌下腺[1]。Warthin瘤发生于腮腺，是仅次于多形性腺瘤居第二位的良性肿瘤[2]。我院于1999～2008年共收治64例Warthin瘤。现将Warthin瘤的临床特点、诊断及治疗问题分析如下： 1资料与方法 1.1一般资料 本组64例，男46例，女8例；年龄25～74岁，60～70岁为发病高峰，占51.9%。病程1～10年。有吸烟史者54例，吸烟年限均在5年以上，占84.4%。46例以腮腺区逐渐长大的无痛性肿块就诊，18例伴轻度疼痛和消长史。部位在腮腺后