...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>日本耳鼻咽喉科学会会報 >Clinical study of adenoid cystic carcinoma of the parotid gland
【24h】

Clinical study of adenoid cystic carcinoma of the parotid gland

机译：腮腺腺样囊性癌的临床研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We report results of a retrospective study of 12 cases of adenoid cystic carcinoma (ACC) in the parotid gland. Local pain was often observed in ACC among other malignant parotid tumors. Although fine-needle aspiration cytology (FNA) was not effective for preoperative diagnosis, frozen section diagnosis (FS) during surgery showed excellent results. Cases with T3 or T4 underwent total or enlarged parotidectomy, but, often showed positive surgical margins. Postoperative radiation therapy seemed useful in these cases and the 5-and 10-year disease-specific survivals in these 12 cases were 90.0% and 80.8%. These compare favorably with other reports in the literature. All 12 cases showed NO and no cervical relapse with or without neck dissection, indicating little effectiveness in prophylactic neck dissection. Tumor size, positive surgical margins, and perineural invasion are risk factors for this tumor as mention previously. Patients with perineural invasion, especially preoperative facial nerve palsy (T4a),are more likely to fail than those with two other factors, so, it seems conceivable for cases of T4a to undergo more positive treatment with surgery and postoperative radiation.
机译：我们报告了腮腺中12例腺样囊性癌（ACC）的回顾性研究结果。在其他恶性腮腺肿瘤中，常常观察到局部疼痛。虽然细针抽吸细胞学（FNA）对术前诊断无效，但手术过程中的冷冻截面诊断（FS）显示出优异的结果。具有T3或T4的病例进行了总计或扩大的腮腺切除术，但经常显示出正面的外科余量。术后放射治疗在这些病例中似乎有用，这12例中的5岁和10年的疾病特异性幸存者是90.0％和80.8％。这些比较了文献中的其他报告。所有12例患者显示没有，没有颈椎复发或没有颈部剖检，表明预防性颈部解剖中的有效性少。肿瘤大小，阳性手术边缘和麻纹侵袭是这种肿瘤的危险因素，如前所述。患有麻纹侵袭的患者，特别是术前面部神经麻痹（T4A）更有可能失败，而不是另外两种因素，因此，T4A的病例似乎可以通过手术和术后辐射进行更阳性治疗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号