Estrem S A, Renner G J
University of Missouri School of Medicine, Division of Otolaryngology, Columbia 65212.
Otolaryngol Clin North Am. 1993 Apr;26(2):231-45.
Cancer of the ear is similar, in many respects, to cancer of other skin-covered parts of the body. The aggressive nature of malignancies involving the ear is often underestimated, resulting in initial undertreatment. Later, the price is paid when a much more extensive operation is required to exenterate the cancer. A more aggressive initial approach to surgical cure would often result in less morbidity and also less mortality. One should therefore be reasonably aggressive in the initial surgical management of all malignancies, including basal cell carcinoma. When cancer involves the meatus, one should be prepared to perform a lateral temporal bone resection to ensure complete tumor extirpation. The available reconstructive options, including hearing rehabilitation, allow aggressive treatment to be tolerated reasonably well by most patients. Aggressive surgical resections of the external ear can be reconstructed, with very reasonable cosmetic and functional results. With sufficiently aggressive treatment, the chances for successful tumor control can be generally very good.
耳部癌症在许多方面与身体其他有皮肤覆盖部位的癌症相似。累及耳部的恶性肿瘤的侵袭性往往被低估，导致初始治疗不足。后来，当需要进行更广泛的手术来根除癌症时，就会付出代价。更积极的初始手术治愈方法通常会降低发病率和死亡率。因此，对于包括基底细胞癌在内的所有恶性肿瘤，在初始手术治疗时都应采取合理积极的态度。当癌症累及耳道时，应准备好进行颞骨外侧切除术以确保完全切除肿瘤。现有的重建选择，包括听力康复，能使大多数患者较好地耐受积极治疗。外耳的积极手术切除可以进行重建，获得非常合理的美容和功能效果。通过足够积极的治疗，成功控制肿瘤的机会通常非常大。
