Zhang Jie, Tingting Hu, Jin Yi, Xianmin Wu, Li He, Xiaoyun Chen
Department of Otolaryngology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
J Int Adv Otol. 2019 Apr;15(1):177-180. doi: 10.5152/iao.2019.6036.
Adenoid cystic carcinoma (ACC) isolated in the mastoid is very rare. Its diagnosis, especially in the early stage, is often challenging as during that stage, the signs and symptoms may be nonspecific. Our paper describes a case of a patient with an isolated mass in the left mastoid with persistent peripheral facial paralysis, and this was initially diagnosed as facial neuritis and granulation. However, histological examination later revealed an ACC exhibiting tubular and cribriform patterns. Our paper discusses the diagnostic basis, treatment, and outcomes for this case to improve the understanding of ACC isolated in the mastoid.
孤立于乳突的腺样囊性癌(ACC)非常罕见。其诊断,尤其是在早期,往往具有挑战性,因为在此阶段,体征和症状可能不具有特异性。我们的论文描述了一例左侧乳突有孤立肿块且伴有持续性周围性面瘫的患者,该患者最初被诊断为面神经炎和肉芽组织。然而,后来的组织学检查显示为呈现管状和筛状结构的腺样囊性癌。我们的论文讨论了该病例的诊断依据、治疗方法及结果,以增进对孤立于乳突的腺样囊性癌的了解。