腮腺癌肉瘤1例并文献复习
Chinese Journal of Otorhinolaryngology-skull Base Surgery（2020）
Abstract
癌肉瘤是一种包含有癌和肉瘤两种恶性成分的肿瘤,其恶性程度高,发病率低,发生于腮腺的癌肉瘤罕见,难以与其他腮腺肿瘤相鉴别,确诊必须靠术后病理.本文报道1例我院收治的腮腺癌肉瘤,并结合文献复习,对腮腺癌肉瘤的鉴别诊断及治疗进行讨论.
1临床资料
患者男,69岁,因发现左侧腮腺区肿物40年,迅速增大4个月而入院,查体:左侧耳根部可触及一类圆形肿块,大小约为4 cm×5 cm,包块表面光滑,皮肤无红肿破溃,质地硬,活动度差,边界尚清,轻压痛,露齿时口角下坠,微笑时面部歪斜,鼓腮时漏气.
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