타액선 Warthin's 종양에 대한 임상적 고찰

임상호; 유순호; 이경석; 황병언; 이은정; 홍기환; 양윤수

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자료유형: 학술저널

저자정보: 임상호 유순호 이경석 황병언 이은정 홍기환 양윤수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제3호

발행연도: 2011.1

수록면: 213 - 216 (4page)

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Background and Objectives The aim of this study was to define the clinical characteristics and treatment outcome of the salivary Warthin’s tumor in order to work out a therapeutic strategy. Subjects and Method The medical records of 64 patients who underwent surgery and were pathologically diagnosed with Warthin’s tumor at our department from January 1997 to December 2009 were reviewed retrospectively. Results There were 60 (94%) males and 4 (6%) females with an overall male-to-female ratio of 15 : 1. The average age was 59.8±9.2 years (range from 35 to 78). All tumors were found in the parotid gland. Of the 66 tumors, 31 (48%) occurred in the right side, 28 (44%) tumors occurred in left side, and 5 (8%) tumors occurred in bilaterally. A superficial parotidectomy was performed in 38 (59%) patients, lumpectomy in 25 (39%) patients and bilateral lumpectomy in one patient. There were 18 (28%) postoperative complications. The most common complication was transient facial palsy that occurred in 11 (17%) patients. Recurrence occurred in 2 (3%) patients, oneipsilaterally and the other contralaterally. All recurrences were found in patients who underwent superficial parotidectomy. Conclusion Warthin’s tumor has a very low recurrence rate with a benign nature. The study shows that lumpectomy is an effective surgical treatment for Warthin’s tumor with an advantage of reducing facial nerve palsy and recurrence rate.

#Warthin's tumor ㆍLumpectomy ㆍParotid gland.

참고문헌 (12)

참고문헌 신청

우정수 / 2002 / 이하선 Warthin씨 종양에 대한 흡연의 영향 / 대한이비인후과학회지 두경부외과학 45(4):380~382

Lamelas J / 1987 / Warthin’s tumor:multicentricity and increasing incidence in women / Am J Surg 154(4):347~351

Monk JS Jr / 1992 / Warthin’s tumor.A high incidence and no sex predominance in central Pennsylvania / Arch Otolaryngol Head Neck Surg 118(5):477~478

Eveson JW / 1986 / Warthin’s tumor(cystadenolymphoma)of salivary glands.A clinicopathologic investigation of 278 cases / Oral Surg Oral Med Oral Pathol 61(3):256~262

Kukreja HK / 1971 / Adenolymphoma of submandibular salivary gland / J Laryngol Otol 85(11):1201~1203