CAJ | 학술논문

目的：：分析儿童上皮源性涎腺肿瘤患儿的临床特点。方法：回顾性分析1987年-2011年小于19岁的涎腺肿瘤患儿的临床资料。结果：122例患儿,105例为良性,17例是恶性。最易受累的部位是患儿的腮腺。在良性病例中,混合瘤占91.4%,恶性病例中,黏液表皮样癌占47.1%。1例患儿诊断为腺淋巴瘤。在我们的随访中,所有患儿均未出现颈部复发。恶性涎腺肿瘤患儿的5年和10年生存率分别是81.8%和66.7%。结论：上皮源性涎腺肿瘤少见,混合瘤和黏液表皮样癌是最常见的病理类型,恶性涎腺瘤患儿的预后较差。
목적：：분석인동상피원성연선종류환인적림상특점。방법：회고성분석1987년-2011년소우19세적연선종류환인적림상자료。결과：122례환인,105례위량성,17례시악성。최역수루적부위시환인적시선。재량성병례중,혼합류점91.4%,악성병례중,점액표피양암점47.1%。1례환인진단위선림파류。재아문적수방중,소유환인균미출현경부복발。악성연선종류환인적5년화10년생존솔분별시81.8%화66.7%。결론：상피원성연선종류소견,혼합류화점액표피양암시최상견적병리류형,악성연선류환인적예후교차。
Objective:To analyze clinical characteristics of pediatric epithelial salivary tumors. Methods:The clinical data of the patients less than 19 years old with salivary tumor from 1987 to 2011 were retrospectively analyzed. Results:122 children patients were included in our study, 105 tumors were benign and 17 were malignant. The most common involved site was parotid gland, pleo-morphic adenoma represented 91. 4% in benign group, and mucoepidermoid carcinoma represented 47. 1% in malignant group. War-thin's tumor was diagnosed in one patient. In our follow-up, no regional recurrences occurred in the patients without neck dissection. The 5- and 10-year overall survival rates of the patients with malignant salivary tumors were 81. 8% and 66. 7%, respectively. Con-clusions:Epithelial salivary tumor is rare, pleomorphic adenoma and mucoepidermoid carcinoma are the most common benign and ma-lignant tumor, respectively. The prognosis of the patients with malignant salivary tumors is not very favorable.