CAJ | 학술논문

目的：探讨涎腺肌上皮癌患者的免疫组化特点、临床病理分型情况以及鉴别诊断。方法：2010年3月-2014年1月收治涎腺肌上皮癌患者23例，并对患者的临床诊断、治疗、预后情况以及生物学行为等方面进行分析。结果：免疫组织的误诊率4.3%(1/23)，病理检查的误诊率8.7%(2/23)。手术根治治疗涎腺肌上皮癌预后情况：6例腮腺区转移，3例颈淋巴结转移，4例血循环转移。患者病死率8.7%。结论：涎腺肌上皮癌采用免疫组化及病理检查进行诊断，具有极高的确诊率。同时给予高效的根治性切除治疗，并在术后进行化、放疗治疗，可以有效地控制患者的癌症扩散速度，延长患者存活时间，值得临床推广应用。
목적：탐토연선기상피암환자적면역조화특점、림상병리분형정황이급감별진단。방법：2010년3월-2014년1월수치연선기상피암환자23례，병대환자적림상진단、치료、예후정황이급생물학행위등방면진행분석。결과：면역조직적오진솔4.3%(1/23)，병리검사적오진솔8.7%(2/23)。수술근치치료연선기상피암예후정황：6례시선구전이，3례경림파결전이，4례혈순배전이。환자병사솔8.7%。결론：연선기상피암채용면역조화급병리검사진행진단，구유겁고적학진솔。동시급여고효적근치성절제치료，병재술후진행화、방료치료，가이유효지공제환자적암증확산속도，연장환자존활시간，치득림상추엄응용。
Objective:To investigate the immunohistochemical features,clinical pathological characteristics and differential diagnosis of patients with salivary gland myoepithelial carcinoma.Methods:23 cases with myoepithelial carcinoma were selected from March 2010 to January 2014.We analyzed the clinical diagnosis,treatment,prognosis and biological behavior of them.Results:The misdiagnosis rate of immune tissues was 4.3%(1/23).The misdiagnosis rate of pathologic examination was 8.7%(2/23).The prognosis of salivary gland myoepithelial carcinoma after the operation cure treatment:6 cases were parotid metastasis,3 cases were cervical lymph node metastasis,4 cases were hematogenous metastasis.The fatality rate was 8.7%.Conclusion:We diagnose myoepithelial carcinoma of salivary glands by immunohistochemistry and pathological.It has the high diagnosis rate.At the same time,adical and efficient resection and the radiotherapy after operation can effectively control the disease in diffusion rate,and prolong the survival time of patients,so it is worthy of clinical application.