Wierzbicka Małgorzata, Gawecki Wojciech, Leszczyńska Małgorzata, Kopeć Tomasz
Klinika Otolaryngologii i Onkologii Laryngologicznej, Uniwersytetu Medycznego w Poznaniu.
Otolaryngol Pol. 2008;62(6):797-9. doi: 10.1016/S0030-6657(08)70365-2.
The authors would like to present a rare case of the middle ear cancer which has been developed in postoperative cave in 67 years old patient operated for cholesteatoma 50 years earlier. The patient was admitted to the ENT Department of Poznań University of Medical Sciences because of the ear suppuration and headache occurring for 3 months. CT and MR images suggested granulation tissue filling the postoperative spaces with bone destruction, infiltration of the dura and temporal lobe abscess formation. Intraoperative findings allowed excluding the preliminary diagnosis of intracranial complication in the course of chronic otitis media, revealing the tissue masses resembling neoplastic infiltration. The histopathology examination confirmed the final diagnosis of squamous cell cancer. The patient was directed to radiotherapy. The authors report a case of middle ear squamous cell carcinoma and discuss its diagnostic aspect.
作者想要介绍一例罕见的中耳癌病例，该病例发生在一名67岁的患者身上，该患者50年前因胆脂瘤接受手术，术后出现腔隙。患者因耳部化脓和头痛3个月而入住波兹南医科大学耳鼻喉科。CT和MR图像显示肉芽组织填充术后间隙，伴有骨质破坏、硬脑膜浸润和颞叶脓肿形成。术中发现排除了慢性中耳炎颅内并发症的初步诊断，发现了类似肿瘤浸润的组织肿块。组织病理学检查证实为鳞状细胞癌的最终诊断。该患者接受了放疗。作者报告了一例中耳鳞状细胞癌病例并讨论了其诊断方面。
