Budde R, Hesse G, Cantemir S, Laubert A
HNO-Klinik der Universität Witten/Herdecke, St.-Marien-Hospital, Hagen.
HNO. 2002 Apr;50(4):358-61. doi: 10.1007/s00106-002-0648-2.
Myositis proliferans is a rare and benign pseudosarcomatous tumour of soft tissue. In most cases it is found in the region of the shoulder and arm and its occurrence in the region of the neck is described in literature in 16 cases in all. For the ear, nose and throat specialist it is an important differential diagnosis in contrast to malignant tumours. In this report we present the cases of two patients, who were suffering from painful cervical swelling that had been increasing for some days. The problems inherent in the diagnosis of this illness are discussed. Due to its rapid growth the tumour is generally falsely diagnosed and radically removed. Therefore, in appropriate case history, this possibility should be considered and excluded in order to prevent the patient from unnecessary radical operation. In addition to clinical symptoms, imaging and trial excision are suitable.
增殖性肌炎是一种罕见的软组织良性假肉瘤性肿瘤。大多数情况下，它出现在肩部和手臂区域，文献中总共描述了16例发生在颈部区域的病例。对于耳鼻喉科专家来说，与恶性肿瘤相比，它是一个重要的鉴别诊断。在本报告中，我们介绍了两名患者的病例，他们患有颈部疼痛性肿胀，且持续数天在加重。文中讨论了该疾病诊断中存在的问题。由于肿瘤生长迅速，通常会被误诊并进行根治性切除。因此，在适当的病史中，应考虑并排除这种可能性，以防止患者接受不必要的根治性手术。除了临床症状外，影像学检查和试验性切除也是合适的。
