摘要
目的探讨发生于外耳道耵聍腺肿瘤的临床表现、病理特点、治疗方法及预后。方法收集我院2004年9月-2012年3月确诊为外耳道耵聍腺瘤和耵聍腺癌的3例患者临床资料。结果 3例患者中,初次诊断均为耵聍腺瘤（年龄6-81岁）,均行手术治疗。随访过程中3例患者均复发,且有1例耵聍腺瘤患者在术后2年复发确诊为耵聍腺癌,行放射治疗后,肿瘤于3余年后再次复发,因基础情况差,未再行手术及放射治疗。另2例耵聍腺瘤患者经手术治疗后随访4年以上,未再复发。结论耵聍腺肿瘤的确诊有赖于结合临床特点和组织病理学检查,应特别注意耵聍腺瘤与低度恶性耵聍腺癌的鉴别。早期诊断困难,术后容易复发,治疗以扩大切除为主,对于耵聍腺癌患者术后可辅以放射治疗。
Objective To analyze the clinical presentations,pathological features,treatment and prognosis of ceruminous gland tumor of the external auditory canal. Methods Clinical data of three cases with ceruminous gland tumor of the external auditory canal hospitalized in our department between Sept 2004 and March 2012 were analyzed retrospectively. Results The age of the three patients ranged from 6 to 81（ years）. All the patients were diagnosed as ceruminoma and treated surgically. During follow-up period,tumors relapsed in all cases and reoperations were performed.Of them,one case with recurrence 2 years after initial operation was diagnosed as ceruminous adenocarcinoma,and received postoperative radiotherapy. However,relapse occurred 3 years after radiotherapy. No further treatment was performed due to patient＇s poor physical condition. The other two patients have been followed up for more than 4 years,and no recurrence occurred. Conclusions The diagnosis of ceruminous gland tumor relies on clinical characteristics and histopathologic findings. Special attention should be paid to the differentiation between ceruminous adenocarcinoma and ceruminous adenoma. Early diagnosis of this tumor is difficult,and the tumor is likely to relapse. Extended resection is the major treatment method. Postoperative radiotherapy should be applied to the patient with ceruminous adenocarcinoma.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2015年第3期195-198,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
四川省科技厅支撑计划(2012FZ0014)
成都市科技局科技惠民项目(0040205301A66)
关键词
外耳道
外耳道新生物
耵聍腺肿瘤
External auditory canal
Ear neoplasm
Ceruminous gland tumor
