[The analysis and discussion of clinical features and treatment of tumor like Sjögren's syndrome in 46 cases].
OBJECTIVE
Manifestations and treatment of tumor-like Sjögren's syndrome(SS) is varying, it is difficulty to differentiate it from other diseases. The purpose of this paper was to identify the peculiarity of the manifestations and treatment of tumor like SS.


METHODS
The data of 46 cases suffering from tumor like SS had been analyzed retrospectively and discussed with published articles about its clinical features and treatment.


RESULTS
There were one or more than one masses in salivary gland, general manifestations were found in 46 cases, dry mouth 41%,dry eye 23%, autoantibody 17%. The result of treatment showed recurrence site of operation group was out of primary region, recurrence rate was 20%. Effective rate of drug group was about 81%,however, recurrence rate was up to 38%. Malignant change occurred in three cases.


CONCLUSIONS
The local feature of tumor like SS is mass in salivary gland, general manifestations are accompanied in some patients. It presents chronic benign process, malignant change may occur in a few patients. Combined therapy should be taken reasonably, local with general, drug with operation. The diagnosis should be identified before treatment, drug therapy is used at first, and operation is adopted after failure of drug treatment.
Department of Oral and Maxillofacial Surgery, Ninth People's Hospital School of Stomatology, Shanghai Second Medical University, Shanghai 200011,China.
C Q
CQ
Yu
B P
BP
Hu
L Y
LY
Zheng
Y M
YM
Ding