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涎腺鳞状细胞癌是很少见的一种涎腺癌,主要发生在腮腺,其它较小的涎腺是很少发生的。笔者收治一例并在保留面神经的情况下使腮腺鳞状细胞癌得到了根治.介绍如下.患者,女性,27岁,于1991—04—13以右侧腮腺区肿物3个月入院治疗.查体见肿物3.0cm×4.3cm.质地较硬,呈结节状,肿物固定浸润性生长.术前根据此病例的病程短,生长速度快,活动度差,考虑为腮腺恶性肿瘤可能性大.此处的恶性肿瘤本应行肿瘤及面神经切除局部淋巴结扩清术.但因未有局部淋巴结转移,未作术前病理,患者本人及家属坚决要求保留面神经,拒绝淋巴结扩清术.所以选用了“腮腺及肿物全切除术保留面神经”,术中可见肿瘤包膜不完整,边界不清楚,与周围
Salivary gland squamous cell carcinoma is a rare type of salivary gland carcinoma, mainly in the parotid gland, and other smaller salivary glands are rare. The author admitted to a case and in the case of facial nerve so that parotid squamous cell carcinoma has been radical.As follows.Patients, females, 27 years old, on the right side of the parotid gland area from April to August 13, 1991 was admitted to the hospital for 3 months. Body see the mass 3.0cm × 4.3cm. Hard texture, nodular, tumor fixed infiltrative growth. Preoperative according to the short course of the disease, rapid growth, poor mobility, consider the possibility of parotid malignancy Large here malignant tumors should be treated with local lymph node dissection and facial nerve resection.But because there is no local lymph node metastasis, not for preoperative pathology, patients and their families are strongly required to retain the facial nerve, refused to lymph node dissection .So Select the “parotid and tumor resection to retain the facial nerve”, the tumor can be seen during surgery incomplete, the border is not clear, and the surrounding