腺样囊性癌或称圆柱瘤,多发生于大涎腺,小涎腺中以硬腭部多见,发生在唇部者甚少,1988年我们收治1例,兹报道如下: 患者辛××,男,65岁。住院号21755。病史:4个月前于左上唇发现一绿豆大无痛性肿物,生长较快,服用土霉素等药治疗无效,近1个月上唇麻木,近半个月肿物局部出现阵发性针刺样疼痛而来就诊,患者平素健康,个人史,家族史无特殊记载。检查:一般状态良,心肺无异常,肝脾不大,上唇两侧不对称,左上唇见—3.0×2.0×1.5cm大卵圆形肿物,周界不清,皮肤略呈紫红色,肤温不高,肿物与皮肤及粘膜粘连。质硬,不活动,有轻度压痛。区域淋巴结无肿大,血尿常规正常,胸透无异常。初步诊断:上唇肿瘤(性质待查)。治疗:在局麻下切除肿瘤及与其粘连的皮肤,粘 Adenoid cystic carcinoma or cystocarcinoma occurs in the parotid glands. The parotid is more common in the hard palate and rarely occurs in the lips. In 1988 we treated 1 case and reported here as follows: Patient Xinxiao , male, 65 years old. Hospital number 21755. History: 4 months ago, a painless mass of mung bean was found in the upper left lip, and the growth was rapid. The drug treatment with oxytetracycline was ineffective. In the past 1 month, the upper lip was numb, and the paroxysmal local tumor appeared in the last half month. Acupuncture-like pain comes for treatment. Patients are usually well-being, personal history and family history are not recorded. Examination: General good condition, no abnormalities of heart and lungs, small liver and spleen, asymmetry on both sides of upper lip, 3.0-2.0-by-1.5-cm large ovoid mass on left upper lip, unclear perimeter, slightly purple skin, skin The temperature is not high, and the tumor sticks to the skin and mucous membranes. Hard, inactive, mild tenderness. Regional lymph nodes were not swollen, hematuria was normal, and chest thorax was not abnormal. Initial diagnosis: upper lip tumor (nature to be investigated). Treatment: removal of tumor and adhesion to skin under local anesthesia, adhesion