부인두강 종양의 임상적 특징과 치료

김형미; 정영호; 하정훈; 성명훈; 김광현; 허동구; 홍성룡; 권성근

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자료유형: 학술저널

저자정보: 김형미 정영호 하정훈 성명훈 김광현 허동구 홍성룡 권성근

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제49권 제7호

발행연도: 2006.1

수록면: 723 - 727 (5page)

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Background and Objectives：Parapharyngeal space tumors are extremely rare head and neck tumors. Therefore, there are just a few reports about them. The purpose of this study was to report our experiences of parapharyngeal space (PPS) tumors regarding clinicopathological features and management. Subjects and Method：This study included 51 patients with PPS tumors which were diagnosed from January 1990 through June 2004. Medical records were reviewed retrospectively. Results：The male-tofemale ratio was close to 1：1. The mean age was 47 years (6 mo-83 Y). The most frequent presenting manifestation was asymptomatic neck mass. All patients were subjected to CT scan, while 31 patients underwent MRI in addition. Diagnostic accuracy of fine needle aspiration cytology of 28 cases matched with pathologic reports by 50%. Salivary gland neoplasms occupied the biggest parts (43.1%, 53.8%) of both benign and malignant PPS tumors. Thirteen patients (25.5%) had malignant lesions. Surgical excision was performed in 39 cases (76.5%). The transcervical (30.8%) and the transcervical-transparotid approaches (38.5%) were commonly performed surgical procedures. Overall postoperative morbidity rate was 23.1%. There were 3 recurrences (42.8%) in malignant tumors and no recurrence in benign ones after surgical excision during the mean follow-up period of 35 months (13-89 mo). Close observation, sclerotherapy and radiotherapy were only applicable for a few selected benign lesions. Conclusion：Most benign PPS tumors could be removed surgically with low complication and recurrence rates. Optimal surgical approach based on transcervical approach allows safe removal of various types of PPS tumors. (Korean J Otolaryngol2006;49:723-7)

#부인두강 종양·이하선 종양·타액선 종양· 부신경절종·신경초종. #Parapharyngeal space neoplasms·Parotid neoplasms·Salivary gland neoplasms·Paraganglioma·Neurilemmoma.

참고문헌 (15)

참고문헌 신청

/ 1982 / Approaches to the diagnosis and treatment of tumors of theparapharyngeal space 4 : 281 ~ 9

/ 1984 / Assessment and treatment of neurogenic and non-neurogenic tumorsof the parapharyngeal space 7 : 32 ~ 43

/ 1985 / Tumors of the parapharyngealspace 111 : 753 ~ 7

/ 1989 / Parapharyngeal and retropharyngeal spacediseases 98 : 320 ~ 1

/ 1990 / Management of tumors arising inthe parapharyngeal space 100 : 583 ~ 9

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