摘要
目的:总结13例涎腺肌上皮癌的病理特点、治疗方式和治疗效果。方法:对13例经病理确诊肌上皮癌的临床、病理、随访资料进行整理分析。结果:13例病例中男8例、女5例,好发年龄35～60岁,平均发病年龄43岁;4例发生于腮腺区,有3例颈淋巴结转移,2例发生血循转移;术后复发4例,死亡3例。结论:涎腺肌上皮癌局部侵袭性强、治疗后易复发,可发生颈部淋巴结及远处转移。该瘤缺乏特征性临床表现,诊断依赖病理和免疫组化。首次治疗时根治性切除是关键,颈部或远处转移时,则须考虑放、化疗。
Objective： To study the clinical features and therapeutic-efficacy of myoepithelial carcinoma in salivary glands. Meth- ods： Clinicohistopathological features and follow-up visit data of 13 cases with myoepithelial carcinoma in salivary glands were ana- lysed. Results： 13 cases, including 8 men and 5 women, aged 14 -82 years old, with the average of 43 years, were included. The tumor was found in parotid gland in 4 cases, cervical lymph node metastasis was observed in 3 cases and distant metastasis in 2 ca- ses. Postoperative recurrence occured in g patients, 4 patients died 2 - 6 years after operation because of metastasis （2 cases） and re- currence （ 1 case）. Conclusion： Myoepithelial carcinoma of the salivary glands is a rare malignant tumor with extensive invasion and metastasis potential. Diagnosis is depended on histology and immunohistochemistry. Radical resection should be considered as the primary treatment. Radiotherapy and chemotherapy can be used for the cases with metastasis.
出处
《实用口腔医学杂志》
CAS
CSCD
北大核心
2013年第2期257-259,共3页
Journal of Practical Stomatology
关键词
肌上皮癌
涎腺
临床
病理
治疗
预后
Myoepithelial carcinoma
Salivary gland
Clinical
Pathology
Treatment
Prognosis
