Andrès E, Kurtz J E, Maloisel F, Dufour P
Department of Internal Medicine, Hôpitaux Universitaires de Strasbourg, France.
Clin Lab Haematol. 2001 Feb;23(1):57-60. doi: 10.1046/j.1365-2257.2001.00358.x.
Otological manifestations exceptionally reveal acute leukaemia, whereas leukaemic infiltration of any tissue is frequent at postmortem examination. We present two cases of acute myeloblastic leukaemia revealed by a loss of hearing due to a middle-ear leukaemic infiltration. The characteristics of such a clinical and radiological finding are emphasized. It is suggested that middle and inner ear can be a 'sanctuary' localization, which might sometimes require radiation therapy to achieve durable and complete remission.
耳部表现极少提示急性白血病，而在尸检时任何组织的白血病浸润都很常见。我们报告两例急性髓细胞白血病，因中耳白血病浸润导致听力丧失而被发现。强调了这种临床和放射学表现的特征。有人提出中耳和内耳可能是一个“庇护所”部位，有时可能需要放疗以实现持久和完全缓解。
