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自1959~1992年期间收治原发于舌下腺肿瘤共63例,其中除8例为良性肿瘤外,余为恶性肿瘤。经治疗后5、10、15年直接法统计生存率分别为67.5%、38.23%及23.0%。影响预后的主要因素是局部复发和远处转移,尤其是肺转移。建议对原发于舌下腺恶性肿瘤术后除注意局部复发外,术后5年内应密切注意肺部检查。舌下腺肿瘤的发病率低于腮腺、颌下腺但恶性率却高达87.3%,所以临床上对舌下腺肿瘤应有足够的重视。本文着重对舌下腺恶性肿瘤的治疗方法及影响疗效因素进行分析。
From 1959 to 1992 during the treatment of primary hypoglossal tumors in 63 cases, including 8 cases of benign tumors, more than a malignant tumor. The 5-year, 10-year and 15-year survival rates were 67.5%, 38.23% and 23.0% respectively after treatment. The main factors affecting the prognosis are local recurrence and distant metastasis, especially lung metastasis. Proposed primary malignant tumor in the sublingual glands in addition to note the local recurrence, the 5-year follow-up should pay close attention to the lung examination. The incidence of sublingual gland tumor is lower than the parotid gland, but the malignant rate of the submandibular gland is as high as 87.3%. Therefore, clinical attention should be paid to the sublingual gland tumor. This article focuses on the treatment of sublingual gland malignancies and analysis of the factors affecting the efficacy.