外耳恶性黑瘤14例报告

Malignant melanoma of external ear:14 cases report

目的：提高对外耳恶性黑瘤的诊治水平。方法：回顾分析１４例外耳恶性黑瘤的临床资料，所有患者均行手术切除。结果：１３例获随访，其中７例无瘤生存，６例死亡，５年生存率为５０．０％。结论：本病进展快，预后差，临床上应及早诊断与治疗，广泛彻底地切除肿瘤；对复发者。

Objective: To improve the diagnosis and treatment level of malignant melanoma in external ear. Method: 14 cases with malignant melanoma of external ear were reported.All patients were treated by surgical excision. Result: 13(in 14) cases were followed up.7 patients were survival with no tumor,the others died.The 5year survival rate for the whole series was 50.0%. Conclusion: The malignant melanoma of external ear has rapid progress and poor prognosis,early detection and treatment are necessary.Extensive excision of malignant melanoma was principle method of the treatment.Recurrent tumor should be treated by combined operation with radiation.