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題名 | 耳廓之惡性汗腺瘤:病例報告=Malignant Eccrine Spiradenoma of Auricle: A Case Report |
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作者 | 陳文星; 劉博仁; 胡璟; 袁本治; | 書刊名 | 醫學研究 |
卷期 | 19:4 1999.01[民88.01] |
頁次 | 頁227-231 |
分類號 | 416.82 |
關鍵詞 | 耳廓; 惡性汗腺瘤; 楔狀切除術; Auricle; Malignant eccrine spiradenoma; Wedge excision; |
語文 | 中文(Chinese) |
中文摘要 | 耳廓之惡性汗腺瘤(malignant eccrine spiradenoma)是外耳極為少見之腫瘤。本科於民國86年經歷一例惡性汗腺瘤,患者為78歲男性,左側耳輪原有一個良性腫瘤有50年之久,主訴於就診前一個月,該腫瘤開始有紅腫潰瘍之惡性變化,易流血,雖每日敷藥,不僅無法痊癒,且有逐漸擴大之趨勢。於全身麻醉下,進行腫瘤切除手術,將整個腫瘤及其附近組織以1cm之安全界限做楔狀切除術(wedge excision)後縫合,術後輔以放射線治療,5個星期內照射5000cGy,門診追蹤半年,傷口愈合良好,無復發跡象。 |
英文摘要 | The malignant eccrine spiradenoma of the auricle is a exceedingly rare neoplasm. We incidentally experienced a case of malignant eccrine spiradenoma in Oct. 1997. The patient was a 78-year-old male. He suffered from a protruding tumor of L't auricle for 50 years. Unfortunately, the tumor had a malignant degeneration and became a nonhealing ulcer with easy-contact bleeding, about 1.5X1.2X0.5cm in size for one month. After receiving the operation of wedge excision wiht 1 cm safety margin, radiotherapy was performed with 5000 cGy in 5 weeks, he is uneventful for half a year without recurrence. |
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