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타액선 종양의 임상적 고찰
Salivery Gland Tumors
박종국(Jong Kug Park),김택규(Taeg Kyu Kim),배원길(Won Kil Pae)
UCI I410-ECN-0102-2009-510-004855839
* 발행 기관의 요청으로 이용이 불가한 자료입니다.

Salivary gland tumors are unique among head and neck disease in wide array of pathology that they manifest. Corresponding to the dirersity of histopathologic features is an equally wide distribution of clinical behavior that makes treatment decisions difficult. The purpose of this paper is to analyze mode of presentation, incidence, histopathologic classification, metastasis, treatment and results. The authors reviewed sixty cases of salivary gland tumors who had been admitted and treated at Department of Surgery, Koryo General Hospital, Seoul during the past 9 years from January, 1979 to December, 1987. The results were as follows; 1) The male to female ratio was 1:13 in benign tumors, but in malignant tumors, male was affected 11 times than female The most prevalent age group was 4th decades. 2) The location of salirary gland tumors was parotid gland in 41 cases (68%), submaxillary gland in 11 cases (19%), minor salivary gland in 6 cases (10%), and sublingual gland in 2 cases (3%). 3) The most prevalent symptom was palpable mass and pain. 4) The most common surgical procedure of parotid gland tumors was superficial parotidectomy in 24 cases (59%). 5) Histopathologically, the most common type of benign tumor was pleomorphic adenoma in 38 cases (79%). And malignant tumors were adenocarcinoma in 4 cases (33%), malignant mixed tumor in 2 cases, squamous cell carcinom in 2 cases, adenoid cystic carcinoma in 1 case, acinic cell carcinoma in 1 case, mucoepidermoid carcinoma in 1 case, etc 6) postoperative complication were in 18 cases, which were transient facial palsy in 9 cases, permanent facial palsy in 3 cases, salivary fistula in 4 cases, etc.7) The recurrence rate was 8% in benign salivary gland tumors, which were performed simple excision previously. 8) 4 cases (33%) of malignant tumors had metastasis to the regional lymph node, and 3 cases (25%) to the lung, another metastastic sites were skull, larynx, tongue base, spine.

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