Parotid neoplasms in children: experience of diagnosis and management in a district general hospital
Parotid neoplasms in children: experience of diagnosis and management in a district general hospital
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DOI：
10.1054/ijom.2002.0381
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发表时间：
2003-08-01
影响因子：
2.4
通讯作者：
Pratt, C
中科院分区：
文献类型：
--
作者：
Ethunandan, M;Ethunandan, A;Pratt, C
腮腺肿瘤在儿童中并不常见，现有文献主要来自专业中心。本文重点介绍了我们的经验，在地区综合医院，在诊断和管理腮腺肿瘤的儿童。仔细检查了1974-1999年26年间所有腮腺切除术的病例记录，确定了18岁及以下的患者。人口统计学数据，组织学，介绍，调查，治疗，结果和并发症进行了分析。545腮腺切除术536例，其中569肿瘤被诊断。仅确定了12名18岁及以下的患者（2.2%）。个体肿瘤的相对频率与成人明显不同。75%的肿瘤是良性的。最常见的肿瘤是多形性腺瘤和粘液表皮样癌。无痛性肿块是最常见的临床表现，CT涎腺造影是最常见的检查。所有病例均行保留面神经的腮腺切除术，恶性肿瘤病例行辅助放疗。末次随访时，所有患者均存活且状态良好。并发症以一过性面神经麻痹和增生性瘢痕最常见。
Parotid neoplasms are uncommon in children and the available literature is predominantly from specialized centres. This paper highlights our experience at a district general hospital, in the diagnosis and management of parotid neoplasms in children. The case records of all parotidectomies performed in a 26-year period between 1974-1999 were scrutinized and patients aged 18 years and below identified. The demographic data, histology, presentation, investigations, treatment, outcomes and complications were analysed.545 parotidectomies were performed in 536 patients, in whom 569 neoplasms were diagnosed. Only, 12 patients aged 18 and under were identified (2.2%). The relative frequency of individual tumours differed markedly from that in adults. 75% of the tumours were benign. Pleomorphic adenoma and mucoepidermoid carcinoma were the most common tumours. A painless mass was the most frequent clinical presentation and CT sialogram was the most common investigation. Parotidectomy with preservation of the facial nerve was performed in all cases, and adjuvant radiotherapy employed in the case of malignant tumours. All patients were alive and well at the time of last follow up. Transient facial nerve palsy and hypertrophic scars were the most common complications.