Riddell D A, LeBoldus G M, Joseph M G, Hearn S A
Department of Otolaryngology, University of Western Ontario Faculty of Medicine, St. Joseph's Health Centre, London.
J Otolaryngol. 1994 Aug;23(4):276-80.
This is a case report of middle-ear carcinoid tumour in a patient with a 20-year history of aural tinnitus, fullness, and hearing loss. The patient was treated surgically, with no evidence of recurrence 20 months later. The natural history of this tumour appears to be relatively benign, with a long clinical course and little destruction of surrounding tissues. Immunohistochemical and electron microscopic studies are of great value in distinguishing carcinoid from other tumours of the middle ear. The pathologic features that contribute to the differential diagnosis are presented. Local conservative surgery appears to be the treatment of choice.
这是一例中耳类癌肿瘤的病例报告，患者有20年耳鸣、耳闷和听力损失病史。患者接受了手术治疗，20个月后无复发迹象。该肿瘤的自然病程似乎相对良性，临床过程较长，对周围组织破坏较小。免疫组织化学和电子显微镜研究在鉴别类癌与中耳其他肿瘤方面具有重要价值。文中介绍了有助于鉴别诊断的病理特征。局部保守手术似乎是首选治疗方法。
