Leferink V J, Nicolai J P
Regional Center for Plastic and Reconstructive Surgery, Arnhem, the Netherlands.
Ann Plast Surg. 1988 Dec;21(6):550-4. doi: 10.1097/00000637-198812000-00010.
Although only a few of the malignant tumors of the skin develop in the external ear, they are more frequent than one would expect. These tumors recur and develop metastases more often than tumors in other sites. Because of this and because of surrounding vital structures, these tumors have a poor prognosis. Surgical therapy, that is, wide excision, is better than radiotherapy. Many methods for reconstruction of the external ear have been published, and sometimes plastic protheses are acceptable. From 1982 to 1986, 17 patients with malignant tumors of the external ear were treated in our center. There were 15 men and 2 women. The mean age was 73 years. There were 4 basal cell and 12 squamous cell carcinomas, and 1 patient had malignant melanoma of the external ear. Nine of these tumors were on the helix. During the follow-up period, 6 patients had local recurrent disease. In 7 patients, reexcision had to be performed several times after incomplete excision. Six patients are alive without any sign of the disease, and 3 patients died.
虽然只有少数皮肤恶性肿瘤发生在外耳，但它们比预期的更为常见。这些肿瘤比其他部位的肿瘤更容易复发和发生转移。由于这一点以及周围的重要结构，这些肿瘤预后较差。手术治疗，即广泛切除，优于放射治疗。已经发表了许多重建外耳的方法，有时可接受使用整形假体。1982年至1986年，我们中心治疗了17例外耳恶性肿瘤患者。其中男性15例，女性2例。平均年龄为73岁。有4例基底细胞癌和12例鳞状细胞癌，1例患者患有外耳恶性黑色素瘤。这些肿瘤中有9例位于耳轮。在随访期间，6例患者出现局部复发性疾病。7例患者在切除不完全后不得不进行多次再次切除。6例患者存活且无疾病迹象，3例患者死亡。
