이하선 천엽에 발생한 지방종의 치험례
Lipoma on superficial lobe of the parotid gland: case report
김정한, 김철훈, 김민구, 송진우, 정유진, 김복주,
소속 상세정보
김정한 ( Kim Jung-Han ) - 동아대학교의료원 치과학교실 구강악안면외과
김철훈 ( Kim Cheol-Hun ) - 동아대학교의료원 치과학교실 구강악안면외과
김민구 ( Kim Min-Gu ) - 동아대학교의료원 치과학교실 구강악안면외과
송진우 ( Song Jin-Woo ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
정유진 ( Jung Eu-Gene ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
김복주 ( Kim Bok-Joo ) - 동아대학교의료원 치과학교실 구강악안면외과
KMID : 0355620100360050438
Abstract
A lipoma is a benign tumor of matured adipose tissue that usually occurs at the shoulder, back, and abdomen. 13% of lipomas occur in the head and neck area. However, the incidence of lipoma in the parotid gland is very low, approximately 2.5%. A conservational surgical excision is recommended in cases of lipoma of the parotid gland, with only 1-2% of lipomas recurring.
We report a case of a lipoma in the parotid gland that was removed by conservational surgical excision. The lesion was exposed by the pre-auricular approach and the tissue was detached. After the parotid gland envelop was exposed, a yellowish mass is observed that was easy to remove due to capsulation.
Most authors recommend a surgical excision of the superficial lobe of the parotid gland as the treatment for a lipoma in the parotid gland. However, enucleation only may be a sufficient treatment when a lipoma occurs in the superficial lobe or around the parotid gland. A patidectomy is not needed when a lipoma is located at the superficial lobe of the parotid gland, and a conservational surgical excision is suitable. Therefore, a clinical diagnosis is important for reducing the damage to the facial nerve.
키워드
Lipoma;Neoplasm;Parotid gland
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