Merkus P, Copper M P, Van Oers M H, Schouwenburg P F
Department of Otolaryngology and Head and Neck Surgery, Academical Medical Center, Amsterdam, The Netherlands.
ORL J Otorhinolaryngol Relat Spec. 2000 Sep-Oct;62(5):274-7. doi: 10.1159/000027759.
Malignant tumors of the ear are rare. The most common malignant tumors are squamous cell carcinomas and adenocarcinomas. Lymphoma in the ear is rare.
We report 2 cases of a primary presentation of a lymphoma of the ear. The literature since 1947 is reviewed.
An 83-year-old woman with an anaplastic large cell lymphoma of the skin of the external auditory meatus and a 75-year-old man with a B-cell non-Hodgkin's lymphoma of the mastoid process are presented. The literature review shows that only 16 cases of lymphomas of the ear have been reported so far.
In a case of therapy-resistant otitis and/or peripheral facial paralysis malignancy should be excluded by computer tomography of the mastoid. For histopathological diagnosis unfixed specimens are preferable. Uniform treatment of lymphomas of the ear has not been established.
耳部恶性肿瘤较为罕见。最常见的恶性肿瘤是鳞状细胞癌和腺癌。耳部淋巴瘤罕见。
我们报告2例耳部淋巴瘤的初发病例。对1947年以来的文献进行了综述。
报告了1例83岁患外耳道皮肤间变性大细胞淋巴瘤的女性和1例75岁患乳突B细胞非霍奇金淋巴瘤的男性。文献综述显示，迄今为止仅报道了16例耳部淋巴瘤病例。
对于治疗抵抗性中耳炎和/或周围性面瘫病例，应通过乳突计算机断层扫描排除恶性肿瘤。对于组织病理学诊断，未固定标本更佳。耳部淋巴瘤的统一治疗方法尚未确立。
