论文部分内容阅读
例1,男,52岁,右侧腮腺区无痛性肿物十三年。十三年前患者发现右耳垂前方有蚕豆大小肿物,无痛,缓慢生长。近年来发现肿物增大明显,影响面容。检查:右侧耳垂前下方隆起,肤色正常。可触及5×4×3cm肿物,呈结节状,边界清,质地中等,无压痛,稍可活动。初步诊断,为右腮腺混合瘤。局麻下行右腮腺浅叶及肿物切除术。术中发现:腮腺浅叶的深面有3个独立圆形肿物,体积分别为1×1×1cm,2×2×1cm,3×3×2cm,包膜完整,色淡黄。较大者位于面神经总干近茎乳孔处,两个较小者分别位于面神经颞支与下颌缘支。术后出现右侧面瘫,半年后面瘫恢复。病理诊断:右面神经
Example 1, male, 52 years old, right parotid area painless thirteen years. Thirteen years ago, the patient found that there was a mass of broad bean in front of the right ear lobe, painless and slow growth. In recent years, the tumor was found to increase significantly, affecting the face. Check: the right lower ear bulge bulge, normal color. Palpable 5 × 4 × 3cm tumor, nodular, clear boundary, medium texture, no tenderness, a little activity. Initial diagnosis, for the right parotid mixed tumor. Local anesthesia right parotid gland lobectomy and tumor resection. Intraoperative findings: parotid shallow depth of the surface of three independent circular tumor, the volume was 1 × 1 × 1cm, 2 × 2 × 1cm, 3 × 3 × 2cm, complete capsule, color yellow. The greater is located in the facial nerve trunk stem near the hole, the two smaller were located in the facial nerve temporal branch and mandibular margin. Postoperative paralysis of the right side, after six months facial paralysis recovered. Pathological diagnosis: right nerve