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外耳道膽脂瘤-一病例報告

Cholesteatoma of External Auditory Canal-A Case Report

摘要


病患為63歲男性,有鼻咽癌病史十年,曾經接放射線治療。由於右耳疼痛及膿性分泌物到本院耳鼻喉部求診,理學檢查發現右側外耳道有一灰白色腫瘤及黏稠分泌物,耳膜完好;電腦斷層攝影顯示中耳及內耳結構正常;純音聽力檢查顯示感音性聽力障礙(表一),初步臆斷為乳突狀瘤(papilloma)或疣(wart)。經由門診局部治療先控制發炎狀態,再安排顯微手術切除,病理報告為外耳道膽脂瘤,門診追蹤治療發現傷口癒合情況良好。

並列摘要


A 63-year-old male, had suffered from right nostalgia for three months. The patient visited our department owing to right nostalgia. According to the finding of physical examination, lobulated soft tissue mass about 1 cm in length located on the posterior wall of right external auditory canal. After three times of local treatment in OPD, we performed excisional biopsy of external auditory canal mass. Pathological report revealed cholesteatoma of external auditory canal. Finally, he was followed up in our OPD and recovered smoothly for three months.

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