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題名 | 中耳原發性腺癌--病例報告=Primary Adenocarcinoma of the Middle Ear--Case Report |
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作者姓名(中文) | 溫凰全; 田輝勣; 許振益; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷期 | 34:4 民88.07-08 |
頁次 | 頁311-314 |
分類號 | 416.821 |
關鍵詞 | 原發性腺癌; 中耳; Primary adenocarcinoma; Middle ear; |
語文 | 中文(Chinese) |
中文摘要 | 中耳原發性腺癌是一種起源自大耳腺體極為罕見之疾病,一般對是否起源於製造 耳垢或是耳蠟的腺體所產笪的外耳道惡性腫瘤局部轉移而來仍多有爭議。在診斷原發性腺癌 時,必須排除來自其他部位轉移而來之腫瘤的可能性。此外,良性腺瘤也可能出現在中耳, 在組織學上有時難以和腺癌完全加以區分。本科於 1998 年 3 月間經驗 1 例 51 歲女性, 因左耳長期耳漏及耳鳴至本科求診。理學檢查發現於左側耳膜前上方有一凹陷袋;聽力檢查 為左側輕度至中度傳導性聽力障礙;電腦斷層顯示於左側乳突腔、乳突竇、以及上、中、下 鼓室腔皆有軟組織病變。經乳突鑿開術發現外觀良好的軟組織腫瘤位於乳突竇,予以剝除及 鼓室重建。術後因病理學檢查為分化良好的腺癌,故予追加放射線治療。 |
英文摘要 | Primary adenocarcinoma of the middle ear is very rare and its origin is still controversial. Before making a confimative diagnosis, metastatic tumor should be ruled out. Moreover, it is difficult to differentiate adenoma from adenocarcinoma in pathologica studies, In March 1998, we experienced the case of a 51-year-old patient who had suffered from persistent left ear discharge and tinnitus for several years. A retraction pocket at the anterosuperior part of the left ear drum was found. Audiometry revealed a mild to moderate conductive hearing loss of the left ear. Computed tomographic scanning of the temporal bone disclosed soft tissue density within the mastoid air cells, mastoid antrum, epitympanum, mesotympanum and hypotympanum. Under the impression of cholesteatoma, a modified radical was performed. A yelllwish soft tissue mass was removed from the tympanomastoid cavity and the tympanum was reconstructed. However, because the pathological study revealed adenovarcinoma, salvage radiotherapy was performed. The patient has been doing well for more than one year after these treatments, |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。