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耳道类癌肿瘤病例:长期术后随访。

A Case of Carcinoid Tumors in the Ear Canal With Long-Term Postoperative Follow-Up.

机构信息

Department of Otorhinolaryngology, Gifu Municipal Hospital, Gifu, Japan.

Department of Otorhinolaryngology, Oogaki Municipal Hospital, Oogaki, Japan.

出版信息

J Int Adv Otol. 2021 Nov;17(6):577-580. doi: 10.5152/iao.2021.21230.

Abstract

Carcinoid tumors in the ear canal are very rare. In this report, we experienced a case of carcinoid tumor of the ear canal that underwent total tumor resection. This study included a 39-year-old man presented with a chief complaint of right-sided hearing loss. Computed tomography scan showed a shadow from the ear canal to the right tympanic chamber. There were no suspicious findings of metastasis in the cervical lymph nodes or other organs. At the time of surgery, the tumor was simply removed because it was small and there was no adhesive invasion. Postoperatively, the patient has been under observation for 11.5 years without any recurrence. Carcinoid tumors in the ear canal can rarely metastasize or recur after more than 10 years. It is important to follow up with the patient for a long time after surgery, using the Ki-67 index of the removed tissue as a prognostic reference.

摘要

耳道类癌非常罕见。在本报告中,我们经历了一例耳道类癌患者,该患者接受了全肿瘤切除术。本研究纳入了一名 39 岁男性患者,主要症状为右侧听力下降。计算机断层扫描显示从耳道到右侧鼓室有阴影。颈部淋巴结或其他器官无可疑转移发现。手术时,由于肿瘤较小且无粘连浸润,故仅行单纯肿瘤切除术。术后,患者已观察 11.5 年,无任何复发。耳道类癌 10 年以上很少发生转移或复发。术后对患者进行长期随访非常重要,可使用切除组织的 Ki-67 指数作为预后参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2999/8975425/3b0fd3a44226/jiao-17-6-577_f001.jpg

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