采用双手术入路治疗的咽鼓管黑色素瘤。
Eustachian tube melanoma treated by double surgical approach.
作者信息
Aubry K, Lerat J, Herman P, Guichard J-P, Tran Ba Huy P
机构信息
AP-HP, Hôpital Lariboisière, Université de Paris Diderot, Paris 7.
出版信息
Rev Laryngol Otol Rhinol (Bord). 2010;131(3):221-4.
OBJECTIVES
We report a case of an eustachian tube melanoma treated by a double surgical approach.
MATERIAL AND METHODS
A 56-year-old man consulted for a recurrent left serous otitis media.
RESULTS
CT-scan and MRI showed a lesion filling completely the middle ear, extending along the Eustachian tube up to the nasopharynx, with enhancement after injection. The biopsy of the lesion confirmed the diagnosis of malignant melanoma. After left internal carotid artery occlusion, the removal of the lesion was performed by a double surgical approach: combination of an endoscopic transnasal and a retroauricular approach. Radiotherapy was adjuvant therapy.
CONCLUSION
Eustachian tube melanoma is a rare occurrence. Surgical treatment must be radical, what represents a challenge considering the localization; it can be obtained with the double surgical approach proposed in our case report.
目的
我们报告一例采用双重手术方法治疗的咽鼓管黑色素瘤病例。
材料与方法
一名56岁男性因复发性左耳浆液性中耳炎前来就诊。
结果
CT扫描和MRI显示一个完全填充中耳的病变，沿咽鼓管延伸至鼻咽部，注射后有强化。病变活检确诊为恶性黑色素瘤。在左侧颈内动脉闭塞后，通过双重手术方法切除病变：内镜经鼻和耳后入路相结合。放疗为辅助治疗。
结论
咽鼓管黑色素瘤较为罕见。手术治疗必须彻底，鉴于其位置，这是一项挑战；我们病例报告中提出的双重手术方法可以实现这一点。
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