Kurz C, Willich N, Wendt T, Vogl T
Radiologische Klinik der Universität München Klinikum Grosshadern.
Laryngol Rhinol Otol (Stuttg). 1987 Sep;66(9):469-73.
The rarely occurring, slowly growing glomus tumours of the inner ear, bulbus jugularis or carotis bifurcation, according to the site of the tumour, can be the cause of loss of hearing, tinnitus, vertigo, pain and cranial nerve destruction. As a result of radiotherapy, after having applied 45 Gy, the size of the tumour decreases only very slowly. Although radiotherapy yields very good results, chemodectomas are usually operated on. However, radiation can be applied as first choice of treatment because of its simplicity and because it is well tolerated by the patient. If surgery is used as first choice the rate of recurrence is higher and one should therefore always consider the use of radiotherapy. Our own results with eight patients confirmed that glomus tumours respond well to radiation. This is generally also known from the literature on this subject.
内耳、颈静脉球或颈动脉分叉处罕见的、生长缓慢的球瘤,根据肿瘤的部位,可导致听力丧失、耳鸣、眩晕、疼痛和颅神经破坏。放疗应用45 Gy后,肿瘤大小仅非常缓慢地减小。虽然放疗效果很好,但化学感受器瘤通常还是进行手术治疗。然而,由于放疗操作简单且患者耐受性良好,可作为首选治疗方法。如果将手术作为首选,复发率会更高,因此应始终考虑使用放疗。我们对8例患者的治疗结果证实,球瘤对放疗反应良好。这在关于该主题的文献中也普遍有所记载。