Abstract:
Objective:To explore the clinical characteristics of sarcoidosis of head and neck symptoms, and to summarize the diagnosis and treatment experience. Methods:A retrospective study was conducted on patients with nodular disease with main symptoms in the head and neck who visited Henan Provincial People\'s Hospital from January 2020 to August 2023. The clinical data including symptom characteristics, pathological characteristics, treatment methods, and prognosis were analyzed. Results:A total of 14 patients were included, with 4 males(28.6%) and 10 females(71.4%), age ranged from 11 to 71 years, with an average age of(52.0±15.8) years. The lesions were located in the parotid gland in 2 cases and the neck in 12 cases. Twelve cases underwent neck mass resection surgery, and 2 cases underwent ultrasound-guided core biopsy of parotid gland tumor and postoperative pathological diagnosis was confirmed in all cases. Four cases received steroid treatment postoperatively, and showed good prognosis with reduced lesion size after 3 months. Three cases did not take medication and the lesions continued to persist, causing discomfort. Seven cases did not take medication postoperatively, and the lesions expanded with multi-organ progression. Conclusion:Patients with head and neck sarcoidosis are rare in clinical practice, and it is prone to misdiagnosis and missed diagnosis. Steroid therapy can achieve good therapeutic effects.
目的:探讨以头颈部症状为主的结节病的临床特点,并总结其诊治经验。 方法:回顾性纳入2020年1月-2023年8月于河南省人民医院就诊的以头颈部症状为主的结节病患者,分析其症状特点、病理学特征、治疗方式及预后情况等临床资料。 结果:共纳入14例患者,其中男4例(28.6%),女10例(71.4%);年龄11~71岁,平均(52.0±15.8)岁。病变位于腮腺2例,颈部12例。12例行颈部肿物切除术,2例行超声引导下腮腺肿物粗针穿刺术,术后均经病理明确诊断。4例术后辅以激素治疗,术后3个月预后良好,病变范围缩小;3例未服用药物,病变持续存在,仍感不适;7例术后未服用药物,病变范围扩大,多器官进展。 结论:头颈部结节病的患者临床少见,容易漏诊、误诊,选用激素治疗可获得良好疗效。.