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外耳道腺样囊性癌6例 被引量:14

Six cases of adenoid cystic carcinoma in external auditory canal
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摘要 目的:探讨外耳道腺样囊性癌的临床及病理特点,以提高诊断和治疗水平。方法:回顾性分析6例外耳道腺样囊性癌患者的临床表现、治疗及随访结果,其中5例行颞骨次全切除术(含外耳道全切除),1例行外耳道后下壁广泛切除及鼓室成形术。结果:全部患者术后随访8~21个月无复发。结论:外耳道腺样囊性癌生长缓慢,可长期带瘤生存,但远期预后不佳,首次治疗应该采用扩大根治性手术以提高治愈率。 Objective:By investigating the clinical and pathological features of adenoid cystic carcinoma in external auditory canal, we can improve our ability of diagnosis and treatment. Method: A retrospective analysis was performed on 6 patients with adenoid cystic carcinoma in external auditory canal, including clinical manifestations, the therapy as well as the follow-up results. All cases underwent subtotal temporal hone resection or other aggressive surgical encision. Result: All cases were alive for a period from 8 to 21 months after subtotal temporal bone resection or other aggressive surgical excision, without any signs of regional lymph node metastasis and distal metastasis. Conclusion: Adenoid cystic carcinoma in external auditory canal grows slowly, so patients can live with the tumor for a long time. But the long-term prognosis is poor. It is necessary to manipulate aggressive surgical excision at the first time to improve cure rate.
作者 杜强 王正敏
出处 《临床耳鼻咽喉科杂志》 CSCD 北大核心 2006年第4期158-159,共2页 Journal of Clinical Otorhinolaryngology
关键词 耳肿瘤 腺样囊性癌 Ear neoplasm Adenoid cystic carcinoma
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参考文献5

  • 1Conley J,Dingman D L.Adenoid cystic carcinoma in the head and neck (cylindroma).Arch Otolaryngol,1974,100:81-90.
  • 2Dal Maso M,Lippi L.Adenoid cystic carcinoma of the head and neck:a clinical study of 37 cases.Laryngos-cope,1985,95:177-181.
  • 3白云波,尹金淑,张丽琴.外耳道腺样囊性癌(附7例临床分析)[J].临床耳鼻咽喉科杂志,2004,18(4):202-203. 被引量:11
  • 4Conley J,Schuller D E.Malignancies of the ear.Laryngoscope,1976,86:1147-1163.
  • 5Hick G W.Tumors arising from the glandular structures of the external auditory canal.Laryngoscope,1983,93:326-340.

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