Metson R, Fleming G, Oye R K
Department of Otology and Laryngology, Harvard Medical School, Boston, MA.
Ann Otol Rhinol Laryngol. 1990 Jul;99(7 Pt 1):543-6. doi: 10.1177/000348949009900709.
A nasopharyngeal mass with cranial neuropathies usually indicates an advanced neoplastic process. We present three patients with these findings and concurrent invasive Pseudomonas otitis in whom repeated nasopharyngeal biopsies were negative for tumor. All of the nasopharyngeal masses resolved following treatment of the otitis. Mechanisms of disease spread from the temporal bone to the nasopharynx are discussed. Clinicians may choose to modify diagnostic and therapeutic approaches to the nasopharyngeal mass in patients with concurrent invasive otologic disease.
伴有颅神经病变的鼻咽部肿物通常提示肿瘤进展。我们报告了3例有这些表现且同时患有侵袭性铜绿假单胞菌中耳炎的患者，其多次鼻咽活检均未发现肿瘤。所有鼻咽部肿物在中耳炎治疗后均消退。本文讨论了疾病从颞骨蔓延至鼻咽部的机制。对于同时患有侵袭性耳科疾病的患者，临床医生可能会选择调整对鼻咽部肿物的诊断和治疗方法。
