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中耳复发性腺瘤样神经内分泌肿瘤:一项诊断挑战。

Recurrent Adenomatous Neuroendocrine Tumor of the Middle Ear: A Diagnostic Challenge.

作者信息

Vilain J, Degols J-C, Ledeghen S

机构信息

ENT Department, Clinique Saint-Pierre, 9 Av Reine Fabiola, 1340 Ottignies LLN, Belgium.

出版信息

Case Rep Otolaryngol. 2018 Nov 25;2018:8619434. doi: 10.1155/2018/8619434. eCollection 2018.

Abstract

Middle ear adenomatous neuroendocrine tumor (MEANT) poses a diagnostic challenge. Clinical symptoms are nonspecific. Definite diagnosis is made by histopathological analysis of the tumor after a complete surgical resection based on an extensive computed tomography/magnetic resonance imaging (CT/MRI). Controversial terminology of the neoplasm arises from the differentiation of this tumor composed of both endocrine and exocrine glands. Middle ear (ME) localization is rare and less aggressive than gastrointestinal tract or lung localizations. Nevertheless, clinical and CT/MRI analyses are necessary follow-ups for preventing or detecting recurrence or metastasis. A case of a female patient aged 26 with recurrent middle ear neuroendocrine adenoma is presented herein.

摘要

中耳腺瘤样神经内分泌肿瘤(MEANT)带来了诊断挑战。临床症状不具有特异性。在基于广泛的计算机断层扫描/磁共振成像(CT/MRI)进行完整手术切除后,通过对肿瘤进行组织病理学分析来做出明确诊断。该肿瘤由内分泌腺和外分泌腺组成,其分化导致了该肿瘤有争议的命名。中耳(ME)定位罕见,且比胃肠道或肺部定位的侵袭性小。然而,临床及CT/MRI分析是预防或检测复发或转移的必要后续检查。本文介绍了一例26岁复发性中耳神经内分泌腺瘤的女性患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d41/6286763/90d08eaa1453/CRIOT2018-8619434.001.jpg

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