Adams Mark, Smith Catherine, Hampton Susanne
Otolaryngology/Head & Neck Surgery, Royal Victoria Hospital, Belfast, UK.
Otolaryngology/Head and Neck Surgery, Western Health and Social Care Trust, Londonderry, UK.
BMJ Case Rep. 2019 Jan 3;12(1):e228130. doi: 10.1136/bcr-2018-228130.
A 60-year-old woman presented with pulsatile tinnitus in the left ear. MRI and CT imaging suggested a soft-tissue mass in the middle ear. Exploratory tympanotomy and biopsy confirmed Schneiderian (inverted) papilloma. Endoscopic and radiological assessment showed no evidence of sinonasal lesions. The patient proceeded to mastoid surgery with removal of the ossicles for disease clearance. The small number of cases published to date of isolated middle ear inverted papilloma suggest a high recurrence and malignant transformation rate and aggressive management is therefore warranted.
一名60岁女性因左耳搏动性耳鸣就诊。磁共振成像（MRI）和计算机断层扫描（CT）显示中耳有一软组织肿块。经鼓室探查术及活检确诊为内翻性乳头状瘤。内镜及影像学评估未发现鼻窦病变证据。患者接受了乳突手术，切除听小骨以清除病灶。迄今为止发表的少数孤立性中耳内翻性乳头状瘤病例提示其复发率和恶变率较高，因此有必要采取积极的治疗措施。
