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中耳手术后的外耳和乳突部硬纤维瘤。

Desmoid tumour of the external ear and mastoid following middle-ear surgery.

机构信息

ENT Department, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.

出版信息

J Laryngol Otol. 2023 May;137(5):582-583. doi: 10.1017/S0022215122001876. Epub 2022 Aug 15.

DOI:10.1017/S0022215122001876
PMID:35968690
Abstract

BACKGROUND

Desmoid tumours (aggressive fibromatosis) are rare, locally invasive, benign tumours. The following case represented a diagnostic challenge, because of the uncommon nature of the lesion.

CASE REPORT

A 26-year-old woman, who had previously undergone middle-ear surgery for cholesteatoma, presented with a painful swelling involving the post-auricular area and the conchal bowl. Initially, it was believed to be an infective process related to the surgery or an unusual cholesteatoma recurrence. Following investigations, which involved imaging and histology, the swelling was diagnosed as a desmoid tumour, and the patient received chemotherapy.

CONCLUSION

Two incidences of paediatric desmoid tumours affecting the ear have been described in the literature, but there is no previous report of a desmoid tumour related to ear surgery. Desmoid tumours have, however, been reported following trauma, including surgery.

摘要

背景

硬纤维瘤(侵袭性纤维瘤病)是一种罕见的局部侵袭性良性肿瘤。由于病变的罕见性质,该病例构成了诊断挑战。

病例报告

一位 26 岁女性,因胆脂瘤而行中耳手术,现出现耳后区域和舟状窝疼痛性肿胀。最初,考虑为与手术相关的感染过程或不常见的胆脂瘤复发。经过影像学和组织学检查,诊断为硬纤维瘤,患者接受了化疗。

结论

文献中描述了两例影响耳部的儿科硬纤维瘤,但尚无耳部手术相关硬纤维瘤的报道。然而,硬纤维瘤曾有过创伤,包括手术相关的报道。

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