이하선 종양에 관한 임상적 연구
A Clinical Study on the Parotid Gland Tumors
구강과학- 전남대학교 2002년 14권 3호 p.197 ~ 206
백승, 김원재, 오희균, 박홍주, 유선열,
소속 상세정보
백승 ( ) - 전남대학교 치의학연구소, 치과대학
김원재 ( ) - 전남대학교 치의학연구소, 구강생리학교실
오희균 ( ) - 전남대학교 치의학연구소, 치과대학
박홍주 ( Park Hong-Ju ) - 전남대학교 치의학연구소, 치과대학
유선열 ( ) - 전남대학교 치의학연구소, 치과대학
KMID : 0988420020140030197
Abstract
This is a clinical study on 113 patients, who were treated for parotid tumors at Chonnam National University Hospital over a period of 5 years from January 1996 to December 2000. The results were as follow,
1. The mean ages were 42.6 years old (12~73 years) for benign parotid tumor patients and 43.9 years old (2~74 years) for malignant patients.
2. The ratio of male to female was 1:2 in malignant parotid tumors, but there was no difference in sex distribution of benign tumor.
3. There was no difference in mean mass size and duration of illness between benign and nalignant tumor patients.
4. The combined use of fine needle aspiration biopsy and computed tomograph was common as the diagnostic method of parotid tumor
5. The parotid tumors were commonly located in the superficial lobe(69%).
6. The ratio of benign and malignant tumors was 4:1. The most common benign tumor was pleomorphic adenoma (72% of benign tumor), followed by Warthin´s tumor and monomorphic adenoma. The most common malignant tumor was rnucoeplderrnoid carcinoma(45% of malignant tumor). followed by adenoid cystic carnoma. carcinoma ex pleomorphic adenoma, and adenocarcinoma.
7. The most common operations were superficial parotidectomy (72%) for benign parotid tumor and total parotidectomy (45%) for malignant tumor
8. The most common postoperative complication was temporary facial nerve weakness (82%), followed by Frey´s syndrome (14%) and permanent facial palsy (4%).
9. Postoperative radiation therapy was done in 12 patients and the mean radiation dose was 5550±620cGy.
10. Of 113 cases. tumor recurrence developed in 12 cases (10%).
These results suggest that the successful management of parotid gland tumors needs adequate surgical treatment on the basis of knowledge of parotid gland anatomy and preoperative diagnosis.
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