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題名 | 口腔頰部小唾液腺涎石症=Sialolithiasis of Buccal Minor Salivary Gland |
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作者 | 林明正; 胡克信; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷期 | 40:6 民94.11-12 |
頁次 | 頁244-247 |
分類號 | 416.94 |
關鍵詞 | 涎石; 涎石症; 小唾液腺; Sialolith; Sialolithiasis; Minor salivary gland; |
語文 | 中文(Chinese) |
中文摘要 | 超過8成以上的唾液腺涎石位於頷下腺,少於兩成位於腮腺,只有約百分之一位於舌下腺,至於發生在小唾液腺的涎石則更為罕見。根據文獻指出,小唾液腺涎石病好發於40歲後的中老年人,多見於頰部及上唇黏膜,以單一堅硬可移動的黏膜下小結節表現。本例為一名53歲男性病患,主訴左下臉頰於2天前突然腫起,理學檢查在患者左側頰部黏膜可摸到一約1.5×1.5 cm有彈性之腫塊,重壓時略感疼痛並有膿液滲出。手術時在左側頰部黏膜下取出一黃褐色硬塊,經病理切片證實為唾液腺涎石。本文除了病例報告外亦同時回顧文獻,在小唾液腺涎石病的盛行率、病因、症狀、治療、組織學特點及臨床之鑑別診斷等做了整理與報告,讓讀者對此罕見疾病能有更深入的了解及精確的診斷。 |
英文摘要 | More than 80% of the sialoliths localize within the ductal system of the submandibular glands, less than 20% within the parotid glands, and only about 1% in sublingual glands. Sialoliths rarely involve the minor salivary glands. Most patients with sialolithiasis of the minor salivary glands have this occur when they are over forty years old. The predominant distribution of the les ions is the buccal and upper labial mucosa, where they commonly appear to be a s ingle, hard and movable nodule. This case is a 53-yearold male who complained of left buccal swelling for 2 days. Physical examination revealed an elastic mass on the left buccal mucosa with pus discharge. A brown-yellowish and hard nodule was harvested from his left buccal mucosa, and sialolith was confirmed in the pathology lab. There was a literature review of sialolithias is of minor salivary glands, and the characteristics and differential diagnosis of a rare case were discussed. |
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