Kasim Kasim S, Abdullah Asma Binti
Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.
Indian J Otolaryngol Head Neck Surg. 2012 Dec;64(4):397-8. doi: 10.1007/s12070-011-0250-6. Epub 2011 May 21.
Temporal bone cancer, a relatively rare disease, accounting for less than 0.2% of all tumors of the head and neck and is associated with a poor outcome; often presents in a subtle manner, which may delay diagnosis. It should be suspected in any case of persistent otitis media or otitis externa that fails to improve with adequate treatment. Despite advances in operative technique and postoperative care, long-term survival remains poor). It includes cancers arising from pinna that spreads to the temporal bone, primary tumors of the external auditory canal (EAC), middle ear, mastoid, petrous apex, and metastatic lesions to the temporal bone. Here is a report on a case of temporal bone carcinoma presenting with right otalgia, otorrhea and facial paralysis. The patient was initially diagnosed as mastoiditis and later the clinical impression was revised to temporal bone carcinoma (undifferentiated type), based on the pathologic findings.
颞骨癌是一种相对罕见的疾病，占所有头颈部肿瘤的比例不到0.2%，且预后较差；其症状通常较为隐匿，这可能会延迟诊断。在任何经充分治疗后仍未改善的持续性中耳炎或外耳道炎病例中，都应怀疑该病。尽管手术技术和术后护理有所进步，但长期生存率仍然很低。它包括起源于耳廓并扩散至颞骨的癌症、外耳道（EAC）原发性肿瘤、中耳肿瘤、乳突肿瘤、岩尖肿瘤以及颞骨转移性病变。以下是一例以右耳痛、耳漏和面神经麻痹为表现的颞骨癌病例报告。患者最初被诊断为乳突炎，后来根据病理结果，临床诊断修正为颞骨癌（未分化型）。
