耳下腺腫脹 : 日常診療における対応

概要

論文の詳細を見る
Parotid gland enlargement can be caused by various pathologic processes including bacterial and viral infections, metabolic or hormonal disturbances, autoimmune diseases and tumors. In this report the outlines of such salivary gland diseases and their diagnostic and therapeutic methods are described. Furthermore, the typical cases are presented with clinical findings and figures. Salivary gland tumors show a variety of histopathological findings, therefore, the precise preoperative diagnosis is sometimes difficult. Preoperatively, MRI (or enhanced CT), ultrasonography and fine needle aspiration biopsy are usually undertaken. It is quite important to preserve the main trunk of facial nerve and its branches in parotid gland surgery, especially in benign tumors. In the case of parotid cancer the tumor is often resected combined with the facial nerve, the surrounded tissues or neck dissection.
東京女子医科大学の論文
2003-12-25