Lahoz Zamarro M T
Servicio de O.R.L. del Hospital Doctor Peset de Valencia.
An Otorrinolaringol Ibero Am. 1990;17(1):23-32.
Paraganglioma though rare in ENT-pathology are considered the most common middle ear tumors. A few of them show some particularities in its growing mood, for instance under the appearance of a banal polyp lodging in the external ear canal, perhaps the polyp represents only the outer portion of a deeper larger process encroaching the underlying bone, which threat heavy complications, specially at attempts of removal without the prior due complementary explorations. The case reported by the authors was a quickly evolutive syndrome with the polyp associated to otorrhea and facial paresia. The verification of the bone destruction make credible the actual diagnosis, malignant tumor of the temporal bone. Afterwards profuse otorragia suggested the glomic tumor. The paper emphasizes the clinic malignancy of theses growths in spite of their histologic benignity, owing both to its speed evolution and destructive power.
副神经节瘤在耳鼻喉科病理学中虽罕见，但被认为是最常见的中耳肿瘤。其中一些在生长方式上表现出一些特殊性，例如在外耳道出现看似普通的息肉，也许该息肉仅代表侵入下方骨质的更深更大病变的外部部分，这会引发严重并发症，尤其是在未进行适当补充检查就试图切除的情况下。作者报告的病例是一种快速进展的综合征，息肉伴有耳漏和面神经麻痹。骨质破坏的证实使得颞骨恶性肿瘤的实际诊断可信。随后大量耳出血提示为球样瘤。本文强调了这些肿瘤尽管组织学上为良性，但因其快速进展和破坏能力而具有临床恶性特征。
