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双侧外耳道骨瘤——关于一例临床病例的讨论

Bilateral external ear canal osteomas - discussion on a clinical case.

作者信息

Gheorghe D C, Stanciu A E, Ulici A, Zamfir-Chiru-Anton A

机构信息

Department of Otorhinolaryngology, "M. S. Curie" Children Emergency Hospital, Bucharest, Romania; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

Oncology Institute Bucharest, Romania.

出版信息

J Med Life. 2016 Oct-Dec;9(4):434-436.

PMID:27928451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5141407/
Abstract

Osteomas of the external ear are uncommon benign tumors that need to be differentiated from the external ear canal exostoses, bony proliferations that are linked mainly to cold-water exposure. Clinical manifestations vary from no symptoms to recurrent local infections and external ear cholesteatoma. presenting a rare case that we did not find described in the published literature. A patient with multiple long-term asymptomatic osteomas of both external ear canals presented to our department. Data recorded from the patient's medical record was reviewed and analyzed. Surgery was performed and histology confirmed the presumptive diagnosis. There was a discrepancy between the local severity of the disease, with a complete obstruction of his ear canals, and the long-term disease-free status of the patient. We hypothesized about the etiology of these multiple bilateral osteomas of the EAC, in light of the clinical and surgical findings.

摘要

外耳道骨瘤是一种罕见的良性肿瘤,需要与外耳道外生骨疣相鉴别,后者是主要与冷水接触相关的骨质增生。临床表现从无症状到反复局部感染和外耳道胆脂瘤不等。本文报告一例罕见病例,我们在已发表的文献中未找到相关描述。一名双侧外耳道有多个长期无症状骨瘤的患者前来我科就诊。对从患者病历中记录的数据进行了回顾和分析。进行了手术,组织学检查证实了初步诊断。尽管患者耳道完全阻塞,疾病局部严重程度较高,但患者长期无病,二者存在差异。根据临床和手术结果,我们对外耳道多发双侧骨瘤的病因进行了推测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/d4703fc8fd65/JMedLife-09-434-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/3ae206489e41/JMedLife-09-434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/f304e3b20689/JMedLife-09-434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/d4703fc8fd65/JMedLife-09-434-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/3ae206489e41/JMedLife-09-434-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/f304e3b20689/JMedLife-09-434-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6ef/5141407/d4703fc8fd65/JMedLife-09-434-g003.jpg

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Spongiotic osteoma in the external auditory canal: Two cases of a rare tumor.外耳道海绵状骨瘤:两例罕见肿瘤病例
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Isolated Eustachian Tube Osteoma: Common Lesion in Uncommon Site.

本文引用的文献

1
To drill or to chisel? A long-term follow-up study of 92 exostectomy procedures in the UK.钻孔还是凿除?英国92例骨疣切除术的长期随访研究。
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外耳道骨瘤合并胆脂瘤1例。
Auris Nasus Larynx. 2005 Sep;32(3):281-4. doi: 10.1016/j.anl.2005.03.010.
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Exostoses of the external auditory canal: a long-term follow-up study of surgical treatment.外耳道外生骨疣:手术治疗的长期随访研究
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Diffuse exostoses and osteomata of the external auditory canal: a report of 100 operations.外耳道弥漫性外生骨疣和骨瘤:100例手术报告
Otolaryngol Head Neck Surg. 1982 May-Jun;90(3 Pt 1):337-42.
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Osteomas and exostoses of the external auditory canal. A clinical, histopathologic and scanning electron microscopic study.外耳道骨瘤和外生骨疣。一项临床、组织病理学及扫描电子显微镜研究。
Ann Otol Rhinol Laryngol. 1979 Jul-Aug;88(4 Pt 1):566-72. doi: 10.1177/000348947908800422.