中国耳鼻咽喉头颈外科Issue(11)：563-565,3.DOI:10.16066/j.1672-7002.2015.11.006
头颈部上皮-肌上皮癌的诊治分析
Epithelial-myoepithelial carcinoma of salivary glands, report of 23 cases
倪松 1朱一鸣 1王健 1刘绍严1
作者信息
- 1. 北京协和医学院中国医学科学院肿瘤医院头颈外科，北京 100021
- 折叠
摘要
Abstract
OBJECTIVE Epithelial-myoepithelial carcinoma (EMC) is a rare malignant neoplasm of the salivary glands. The aim of the study was to investigate the diagnosis, treatment and prognosis of EMC of the parotid gland.METHODSThe clinical data of 23 cases of EMC of the parotid gland from 1999 to 2013 were analyzed retrospectively. Of all the patients, 13 cases received radical surgery only, 9 cases received postoperative radiotherapy, and one case received postoperative chemotherapy. Kaplan-Meier survival curve was used to analyze the clinical data. RESULTSThe overall survival rate at 5-year was 81.0% and the overall no recurrence survival rate at 5-year was 67.3%. The recurrence rate was 39.1% (9/23). The 5-year no recurrence survival rate of radical surgery group was 55.6%, compared with 80.0% in the combined modality therapy group, there was no significant deference (χ2=2.232, P=0.135).CONCLUSIONThe postoperative recurrence rate of EMC is high. Radical surgery could be the main treatment of EMC, when the surgical margin couldn't be achieved, adjuvant radiotherapy or chemotherapy might be helpful.关键词
涎腺肿瘤/放射疗法/化学疗法,辅助/上皮-肌上皮癌Key words
Salivary Gland Neoplasms/Radiotherapy/Chemotherapy, Adjuvant/epithelial-myoepithelial carcinoma引用本文复制引用
倪松,朱一鸣,王健,刘绍严..头颈部上皮-肌上皮癌的诊治分析[J].中国耳鼻咽喉头颈外科,2015,(11):563-565,3.
