摘要
目的:探讨颞骨骨化纤维瘤的诊断和治疗,提高对该病的认识。方法:报道1例颞骨骨化纤维瘤男性患儿,取耳后沟外切口,暴露瘤体,彻底切除肿瘤组织,封闭外耳道残端,取自体腹壁脂肪填塞术腔;术后定期随诊。结果:术后病理证实为颞骨骨化纤维瘤,术后随访1年无复发,外耳道内端封闭完好。结论:颞骨骨化纤维瘤临床罕见,虽为良性肿瘤,但可压迫和侵袭邻近重要组织和器官,引起功能障碍和颅内感染,一旦确诊,应尽早完整切除。
Objective：To describe the clinical presentation of ossifying fibroma of the temporal bone, and to discuss its diagnosis and treatment. Method： A rare case of ossifying fibroma of the temparal bone was presented. The patient was a 8-year-old boy with a one year history of left ear discomfort, suppurative otorrhea and progressive hearing loss. Physical examination of the ear revealed a stenosis of left external auditory canal（EAC）, and an obvious expansion at mastoid region. Audiometry showed no hearing of the left ear. A postauricular approach was used to expose the mass. Frozen section evalution during operation was not definitive but suggested benign nature in histology. The tumor was fully resected. The EAC was sealed by sutured skin, and the extended mastoid cavity was obliterated with abdominal fat. Result： The final pathological report indicated the stromal cells were negative for S-100 protein and epithelia membrane antigen（EMA）, supporting the diagnosis of ossifying fibroma. One-year follow-up showed the sealed EAC was satisfactory with complete interior and no tumor recured. Conclusion： Ossifying fibroma of the temporal bone is a rare entity, which is a benign neoplasm but may show an aggressive behavior by compression and encroachment upon adjacent structures. Early and complete removal was advocated.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2006年第19期868-870,共3页
Journal of Clinical Otorhinolaryngology
关键词
颞骨
骨化纤维瘤
Temporal bone
Ossifying fibroma
