IR@PKUHSC  > 北京大学民航临床医学院
学科主题耳鼻喉科
外耳道腺样囊性癌并2例报告
何风
2006-05-16
导师余力生
专业耳鼻喉科
授予单位北京大学
授予地点北京大学民航临床医学院
学位硕士
关键词外耳道腺样囊性癌、临床表现、治疗
其他题名Adenoid cystic carcinoma of the external auditory canal with two cases report
分类号R739.61
摘要目的:总结了国内关于外耳道腺样囊性癌的报道共36篇161例患者的诊治情况,经过统计分析对外耳道腺样囊性癌进行系统的阐述。 方法:对发病情况、症状和体征进行了总结,对治疗方法与疗效进行统计分析。 结果:发病女多于男,左耳多于右耳,平均年龄47.4岁;主要症状为耳痛,病变多位于外耳道软骨部前、上、后壁;采用扩大手术者较之局部扩大切除及单纯肿物切除者2年、5年及10年复发率明显要低(P<0.05),且生存时间明显要长(P<0.05);手术切除加术后放疗者较之单纯手术切除者预后要好,但无明显统计学差异。 结论:外耳道腺样囊性癌病因可能与局部刺激有关;长期外耳道肿痛患者应及早切除肿物进行病理检查;治疗应早期进行扩大手术切除并加以术后放疗。
英文摘要Objective: Give a summary of diagnosis and treatment about 36 native (161 cases) reports of the adenoid cystic carcinoma arising in the external auditory canal. Have a systemic statement of the adenoid cystic carcinoma arising in the external auditory canal through statistic analysis. Methods: Summarize incidence、symptom and physical examinations.Statistic analyze remedial method and curative effect. Results: Incidence in female is more than in male, left ear more than right ear. the average age is 47.4 years old; main symptom is otalgia, pathological changes mostly locate at front、up and back wall of cartilage part of external canal; 2-year、5-year and 10-year recrudescence of patient adopted extend operation is obviously lower than those adopted local removal and simplicity tumor removal(p<0.05), and their survive time is obviously longer (p<0.05);patients who have operation removal and post-operation radical therapy have a better prognosis than those have surgery remove only, but no obviously statistic difference. Conclusion: The pathogeny of the adenoid cystic carcinoma arising in the external auditory canal probably is related to local stimulation; the patient who have lasting gall in external canal should have pathology examination early; early extend surgery and post-operation radical therapy later on is recommended.
语种中文
出处http://xuewei.bjmu.edu.cn/simpsearch.action?keyword=外耳道腺样囊性癌并2例报告&dbid=72
相关网址查看原文
文献类型学位论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/105449
Collection北京大学民航临床医学院
作者单位北京大学民航临床医学院
Recommended Citation
GB/T 7714
何风. 外耳道腺样囊性癌并2例报告[D]. 北京大学民航临床医学院. 北京大学,2006.
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