이하선 종양 수술술식 선택에 있어 임상병리학적 요인

• 영문명: Clinicopathologic Factors in Selection of Surgical Procedure in Parotid Tumor Surgery -A Retrospective Review of 245 Cases-
• 발행기관: 대한두경부종양학회
• 저자명: 김운원(Woon Won Kim) 김상효(Sang Hyo Kim)
• 간행물 정보: 『대한두경부종양학회지』제19권 제2호, 137~141쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2003.11.30

영문 초록

Introduction: A routine superficial parotidectomy with facial nerve dissection in parotid tumor surgery often results in facial dysfunction, Frey syndrome and defect in operation site. Formal facial nerve dissection has been a recommended procedure, because pleomorphic adenoma is a commonly recurrent tumor in case of inadequate surgical management, however it can not be always reasonable in aspect of postoperative sequelae. Patients and Methods: Through retrospective review of 245 cases parotidectomies and follow up for more than three years, clinicophathologic factors influencing to the selection of surgical procedure were considered to be age, sex, and preoperative pathology confirmed by preoperative MRI and FNA. Results: Five categories were established as follow for surgical decision in parotid tumor surgery. Category 1. Superficial lobe adenoma -- Superficial parotidectomy -- 124 Category 2. Deep lobe adenoma -- Deep parotidectomy -- 39 Category 3. Non pleomorphic adenoma -- Tumorectomy 1.5cm adenoma in young female -- Tumorectomy -- 25 Category 4. Recurrent multicentric tumor -- Parotidectomy+RT -- 9 Category 5. Parotid cancer; Parotidectomy + UND (RND) + RT -- 48 ; CORE (Composite Regional Ear Resection) -- 2 Conclusion: Surgical morbidity and recurrence rate could be minimized by individualizing the surgical procedure according to the category principle based on the clincopathologic features.

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Abstract

서론

관찰대상 및 방법

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고찰

결론

References

키워드

이하선 종양 이하선 절제술 임상병리학적 인자 Parotid tumor Parotidectomy Clinicopathologic factors