腮腺多形性腺瘤腺体切除范围的病理依据

华西口腔医学杂志

腮腺多形性腺瘤腺体切除范围的病理依据

温玉明,陈润良,王昌美

610041　四川大学华西口腔医院口腔颌面外科

收稿日期:2003-10-25 修回日期:2003-10-25 出版日期:2003-10-20 发布日期:2003-10-20

The Pathologic Basis of Partial Parotidectomy in Parotid Pleomorphic Adenoma Treatment

WEN Yuming,CHENRunliang,WANG Changmei

Department ofOral andMaxillofacial Surgery,West China College ofStoma- tology,Sichuan University,Chengdu610041,China

Received:2003-10-25 Revised:2003-10-25 Online:2003-10-20 Published:2003-10-20

摘要/Abstract

摘要：

目的　为腮腺多形性腺瘤腺体切除范围提供病理学依据。方法　通过显微镜对25例原发腮腺多形性腺瘤连续病理切片的观察,尤其是重点观察和测量腺瘤包膜外浸润、出芽生长情况,并探讨有无原发多中心分布。结果　①包膜外浸润及出芽生长的具体扩展范围为:0·09~0·29 mm,远小于腺体部分切除的安全边界(5~10 mm)。②原发多中心分布2例,但具有分散程度小、有统一融合包膜的特点。结论　腮腺多形性腺瘤瘤体外5~10 mm的腺体部分切除,可以达到根治的效果。

关键词: 腮腺多形性腺瘤, 腺体部分切除术, 病理学

Abstract:

Objective　The purpose of this studywas to offer pathological reasons for partial parotidectomy adopted in pa- rotid pleomorphic adenoma treatment.Methods　Continuous slices from 25 cases of primary parotid pleomorphic adenoma were carefully examined and the extra-envelope infiltration, the budding and the primary multi-centerwere measured and recorded.Re- sults　The range of extra-envelope infiltration and buddingwas limited in 0·09~0·285 mm out of tumor capsules, whichwas far less than the safe boundary(1 cm)of the partial parotidectomy. Two cases with multi-centers were found, but all the centers were aggregated together and encapsulated in a united envelope.Conclusion　Partial parotid parotidectomy is a safe method and can remove the tumor completely in parotid plemorphic adenoma treatment.

Key words: pleomorphic adenoma, partial parotidectomy, pathology

温玉明,陈润良,王昌美. 腮腺多形性腺瘤腺体切除范围的病理依据[J]. 华西口腔医学杂志.

WEN Yuming,CHENRunliang,WANG Changmei. The Pathologic Basis of Partial Parotidectomy in Parotid Pleomorphic Adenoma Treatment[J]. West China Journal of Stomatology.

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[3]	林梓桐王铁梅陈菲邓润智. 复发性成釉细胞瘤的临床、影像、病理学分析[J]. 华西口腔医学杂志, 2012, 30(2): 148-151.
[4]	陈艳,何志秀,吴兰雁,刘来奎. 口腔粘膜原发恶性黑色素瘤的临床病理学研究[J]. 华西口腔医学杂志, 2003, 21(01): 31-34.
[5]	高庆红!610041,王昌美!610041,温玉明!610041,李龙江!610041,何志秀!61. 平阳霉素局部注射对周围血管作用的实验研究[J]. , 2001, 19(03): 0-.
[6]	胡开进!710032,周树夏!710032,王彦清!710032,李光平!710032. 颞颌关节间接性损伤后不同时期X线表现及其意义[J]. , 2001, 19(02): 0-.
[7]	岳玉敏,陈谦明,林梅,李秉琦. 中国人灼口综合征患者的社会心理卫生背景调查[J]. , 1999, 17(01): 0-.
[8]	谭颖徽,周树夏. 不同种类高速投射物颌面损伤特点的实验研究[J]. , 1997, 15(02): 0-.
[9]	黄生高,凌天牖,吴汉江,李运良,姚志刚,曾庆善,谭爱玲. 槟榔提取液诱发大鼠口腔粘膜下纤维性变的实验研究　Ⅰ.组织形态学观察[J]. , 1997, 15(02): 0-.
[10]	周红梅,陈谦明,李秉琦,胡涛,胡颖川,雷松,程斌,段开文. 超氧化物歧化酶防治口腔粘膜炎性损害的动物实验研究——组织病理学特征及定量比较[J]. , 1996, 14(02): 0-.
[11]	杨永沛,张建设,刘宽宇,朱宏卫,李晨军. 微波热凝治疗口腔颌面部血管瘤[J]. , 1996, 14(02): 0-.
[12]	吴兰雁，周志瑜，卢勇，王炼，朔敬，程珺. 涎腺恶性淋巴上皮病损的临床病理研究[J]. , 1996, 14(01): 0-.
[13]	陈柯，任煜光，罗渝宁. 髓腔内漂白对牙周组织损伤的研究[J]. , 1995, 13(04): 0-.
[14]	卢勇，周志瑜，何志秀，雷荀灌，张贤良. 颌面骨纤维骨病变──272例临床病理研究[J]. , 1995, 13(01): 0-.