Submandibular triangle masses.
Submandibular triangle masses.
复制标题
颌下三角肿块。
DOI：
10.1097/scs.0b013e3182a238f9
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Gerek,Mustafa
中科院分区：
文献类型：
--
作者：
Dalgic,Abdullah;Karakoc,Omer;Karahatay,Serdar;Hidir,Yusuf;Gamsizkan,Mehmet;Birkent,Hakan;Gerek,Mustafa
本研究旨在分析一个大型的病例系列，因为下颌下三角区肿块超过10年的人口统计学数据，并提出了一个文献综述.Materials and MethodsThe图表的患者谁接受手术干预下颌下三角区肿块2000年1月至2010年11月进行了审查。病史，年龄，性别，症状持续时间，临床表现，术前调查，和组织病理学诊断进行了reviewed.ResultsThe研究包括66例; 12例（18.2%）下颌下涎石症，18例（27.2%）与涎腺炎，10例淋巴结炎（15.1%），和26例（39.3%）与肿瘤。恶性肿瘤占23%，良性肿瘤占77%。良性肿瘤占22.7%，恶性肿瘤占3%。良性肿瘤以多形性腺瘤最多见。最常见的组织病理学诊断的下颌下肿块起源于下颌下腺，这些包括71.2%的所有下颌下肿块病理。主要症状为无痛性肿块。超声检查是最常见的术前诊断程序。26例患者进行了细针穿刺活检。明确的诊断不能提供3（12%）patients.ConclusionInfectious条件和良性肿瘤比恶性肿瘤在下颌下区域更频繁。组织病理学诊断主要包括颌下腺炎、涎石症、多形性腺瘤和淋巴结炎。超声检查是放射学评价的首选方法。细针穿刺活检是一种非常有用的，通常足以进行组织病理学诊断的诊断程序。当细针穿刺活检失败时，可以进行切除活检。
ObjectiveThe study aims to analyze the demographic data of a large case series operated on because of submandibular triangle mass for more than 10 years and presents a review of the literature.Materials and MethodsThe charts of patients who underwent surgical intervention for submandibular triangle mass between January 2000 and November 2010 were reviewed. The medical history, age, sex, duration of symptoms, clinical presentation, preoperative investigations, and histopathologic diagnosis were reviewed.ResultsThe study included 66 subjects; 12 patients (18.2%) with submandibular sialolithiasis, 18 patients (27.2%) with sialadenitis, 10 patients with lymphadenitis (15.1%), and 26 patients (39.3%) with tumors. Of the tumors, 23% was malignant and 77% was benign. Benign tumors of submandibular gland comprised 22.7% and malign tumors of submandibular gland comprised 3% of all submandibular mass. The most common benign tumor was pleomorphic adenoma. The most frequent histopathologic diagnoses of submandibular masses originated from the submandibular gland, and these comprised 71.2% of all submandibular mass pathologies. The main symptom was a painless mass. Ultrasonography was the most common preoperative diagnostic procedure. Fine-needle aspiration biopsy was performed in 26 patients. A clear diagnosis could not be provided in 3 (12%) patients.ConclusionInfectious conditions and benign tumors are more frequent than malign tumors in the submandibular region. The histopathologic diagnoses mainly consisted of submandibular sialadenitis, sialolithiasis, pleomorphic adenoma, and lymphadenitis. Ultrasonography is the first option of radiologic evaluation. Fine-needle aspiration biopsy is a very useful and usually sufficient diagnostic procedure for histopathologic diagnosis. Excisional biopsy can be performed when the fine-needle aspiration biopsy failed.