Pahor A L, O'Hara M D
J Laryngol Otol. 1975 Jul;89(7):707-20. doi: 10.1017/s0022215100080920.
A case of hidradenoma of the external auditory meatus ('ceruminoma') is presented, with a review of the literature. The tumour has the appearances of a pleomorphic adenoma and is devoid of a capsule. It is suggested that the term hidradenoma be used for tumours of the ceruminous glands and that they be classified histologically as (1) adenoma, (2) pleomorphic adenoma, (3) adenoid cystic carcinoma and (4) adenocarcinoma. This classification aids treatment and prognosis. Attention is drawn to the high incidence of malignancy in hidradenomata of the external auditory meatus. The treatment of choice for pleomorphic adenomata is wide surgical excision with an adequate margin of normal skin. If there is doubt regarding complete removal, or a recurrence develops, a wider surgical excision is necessitated.
本文报告一例外耳道汗腺腺瘤(“耵聍腺瘤”),并对相关文献进行综述。该肿瘤具有多形性腺瘤的外观,且无包膜。建议将汗腺腺瘤这一术语用于耵聍腺肿瘤,并根据组织学将其分为(1)腺瘤、(2)多形性腺瘤、(3)腺样囊性癌和(4)腺癌。这种分类有助于治疗和判断预后。需注意外耳道汗腺腺瘤的恶性发生率较高。多形性腺瘤的首选治疗方法是进行广泛的手术切除,切除边缘要有足够的正常皮肤。如果对是否完全切除存在疑问,或者出现复发,则需要进行更广泛的手术切除。