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颞骨软骨母细胞瘤

Temporal bone chondroblastomas.

作者信息

Pontius Allison, Reder Paul, Ducic Yadranko

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX 76104, USA.

出版信息

Am J Otolaryngol. 2003 Nov-Dec;24(6):370-3. doi: 10.1016/s0196-0709(03)00084-x.

Abstract

OBJECTIVES

To review temporal bone chondroblastomas in regards to their presentation, radiographic findings, histopathology, and treatment.Study design Case report and literature review.

METHODS

A case report of a 38-year-old man is reviewed who presented with left-sided mixed hearing loss, otalgia, otorrhea, and a left external auditory canal mass. A computed tomography scan revealed a 6-cm mass involving the petrous and squamous portions of the left temporal bone.

CONCLUSIONS

Temporal bone chondroblastomas are extremely rare osseous tumors with only 35 cases previously reported in the literature. Presenting symptomatology and pathology may be confused with more common lesions seen in the temporal bone. Diagnostic radiology, including computed tomography and/or magnetic resonance imaging, as well as immunohistochemical staining with S-100 protein may assist in making the diagnosis. Treatment is complete surgical excision with preservation of vital neurovascular structures.

摘要

目的

回顾颞骨软骨母细胞瘤的临床表现、影像学表现、组织病理学及治疗方法。研究设计为病例报告及文献综述。

方法

回顾一例38岁男性病例报告,该患者表现为左侧混合性听力损失、耳痛、耳漏及左侧外耳道肿物。计算机断层扫描显示一个6厘米大小的肿物,累及左侧颞骨的岩部和鳞部。

结论

颞骨软骨母细胞瘤是极其罕见的骨肿瘤,此前文献仅报道过35例。其临床表现和病理学表现可能与颞骨中更常见的病变相混淆。诊断性放射学检查,包括计算机断层扫描和/或磁共振成像,以及S-100蛋白免疫组织化学染色,可能有助于做出诊断。治疗方法是完整手术切除,并保留重要的神经血管结构。

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