文章摘要

腮腺腺淋巴瘤的临床病理研究

作者: 1宁佳羽, 2包伟晶, 1郭华, 1周素娟, 1张丽琴
1 福建医科大学附属宁德市医院病理科,福建 宁德 352100
2 福建医科大学附属宁德市医院耳鼻咽喉科,福建 宁德 352100
通讯: 包伟晶 Email: baobaoyatou2006@163.com
DOI: 10.3978/j.issn.2095-6959.2016.04.005
基金: 宁德市科技局科研立项指导项目, 宁科20140120

摘要

目的:探讨腮腺腺淋巴瘤的临床病理特点。方法:收集并分析26例腮腺腺淋巴瘤病例资料,研究其临床特点、病理形态学特征,并复习相关文献。结果:男性21例,女性5例,年龄45~78岁,平均年龄61.3岁。临床均表现为腮腺区无痛性缓慢生长的肿物,界限清楚;肉眼呈分叶状,包膜大多完整,质中,切面灰白灰褐色,可见囊腔;镜下可见嗜酸性上皮细胞和反应性淋巴细胞,上皮多呈乳头状排列,间质为淋巴细胞。结论:腮腺腺淋巴瘤为良性肿瘤,临床少见,多位于腮腺后下极,大多为单灶,多见于老年男性,吸烟为其诱因,可根据其独特的病理学特征明确诊断。
关键词: 腮腺 腺淋巴瘤 Warthin瘤 临床特点 病理研究

The clinicopathologic studies of cases with parotid adenolymphoma

Authors: 1NING Jiayu, 2BAO Weijing, 1GUO Hua, 1ZHOU Sujuan, 1ZHANG Liqin
1 Department of Pathology, Ningde Municipal Hospital Affiliated of Fujian Medical University, Ningde Fujian 352100, China
2 Department of Otorhinolaryngology, Ningde Municipal Hospital Affiliated of Fujian Medical University, Ningde Fujian 352100, China

CorrespondingAuthor: BAO Weijing Email: baobaoyatou2006@163.com

DOI: 10.3978/j.issn.2095-6959.2016.04.005

Abstract

Objective: To study the clinicopathologic features of parotid adenolymphoma. Methods: Twenty-six cases of parotid adenolymphoma were collected, investigated the clinicopathologic features by light microscopy with review of the literatures. Results: The patients included 21 male and 5 female. The age of patients ranged from 45 to 78 years (median =61.3 years). All cases were presented a painless, slow-growing parotid and circumscribed mass. A cut surface of the specimen showed a grayish-brown mass with totally encapsulated in all cases. Eosinophilic epithelial cells and reactive lymphocytes were observed by light microscopy. Epithelium mostly presented in papillary arrangement, intensive interstitial lymphocytes was contained in the tumor. Conclusion: As rare clinical benign tumor and generally found in elderly men, parotid adenolymphoma usually occurred in the lower pole of the parotid gland, and commonly occurred as a single focus in one parotid gland. Cigarette smoking was an important inducement in the development of the disease. We could make the final diagnosis based on its unique pathologic features.

文章选项