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咽侧突出型的腮腺肿瘤临床上极为少见,早期诊断十分困难。尤其是该区发生的恶性肿瘤容易误诊误治。作者报告了近十年收治的13例咽侧突出型腮腺深叶肿瘤的诊治经验。当患者伴有面瘫、疼痛症状时应疑为恶性肿瘤。主张早期做CT检查,且诊断平面应在听眦线以下,文中讨论了治疗措施,手术进路的选择、术后并发症的治疗以及鉴别诊断。随访结果:4例恶性肿瘤患者中,2例术后死于复发,1例死于肝脏转移,7例良性肿瘤患者均正常生存。
Pharyngeal prominent parotid gland tumor is extremely rare clinical, early diagnosis is very difficult. Especially in the area of malignant tumors misdiagnosis and mistreatment. The authors report the diagnosis and treatment of 13 cases of parotid prominent parotid tumor in the past decade. When patients with facial paralysis, pain symptoms should be suspected of malignancy. Advocated to do early CT examination, and the diagnosis of the plane should be below the hearing line, the article discusses the treatment measures, the choice of surgical approach, the treatment of postoperative complications and differential diagnosis. Follow-up results: Of the 4 patients with malignant tumor, 2 died of recurrence after surgery, 1 died of liver metastasis, and 7 patients with benign tumor survived normally.