Theissing J
Laryngol Rhinol Otol (Stuttg). 1978 Feb;57(2):85-90.
In a histological point of view there is in the first line the squamous cell carcinoma. Mostly a chronic otitis media is important for the genesis. Because of the hidden place of the tumor there are usually late stages to be observed. The success of therapy therefore is not all convincing as are about 25% 5-year-survival-rate. The mono-bloc-resection of the temporal bone turns out to be more and more important. As this operation involves high risks, the partial resektion of the temporal is still used. Radio-therapy before or after the operation is widely contested in its value, although there are statistically ensured results. Sole radio-therapy is only convincing with very tiny tumors, in other cases it is only palliative. Because of the histological structure of the squamous cell carcinoma the results of chemotherapy cannot be better.
从组织学角度来看,首要的是鳞状细胞癌。多数情况下,慢性中耳炎对其发生发展至关重要。由于肿瘤位置隐匿,通常发现时已处于晚期。因此,治疗效果并不尽如人意,5年生存率约为25%。颞骨整块切除术变得越来越重要。由于该手术风险高,颞骨部分切除术仍在使用。手术前后的放射治疗价值备受争议,尽管有统计学上得到证实的结果。单纯放疗仅对极小的肿瘤有效,在其他情况下仅起姑息作用。由于鳞状细胞癌的组织学结构,化疗效果也不会更好。