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耳部侵袭性神经纤维瘤1例并文献复习

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摘要 耳部侵袭性神经纤维瘤属神经源性肿瘤,较为少见,有些病例早期无明显症状和体征,本科2012年收治1例,现分析报道如下。1临床资料患者,女,38岁。因自幼右侧耳廓畸形,近期右耳流液不适入院。查体:右耳轮脚延伸至外耳道均匀肥大,质软,无充血、发热、肿胀及疼痛,右外耳道部分闭锁,可见少许黄白色液体流出,较臭,鼓膜窥及不清,粗测听力尚可,乳突区无压痛。行纯音测听示右耳(0.5、1.0、2.0、4.0 kHz)平均听力为59 dB,为中重度传导性耳聋;左耳听力正常。中耳、乳突CT检查示右侧外耳道闭锁,右侧中耳、乳突慢性炎症。右侧枕骨部分骨质缺失,术后改变。追问病史,患者既往无手术史,无家族遗传病史。入院诊断:(1)右耳肿块性质待查:①良性肿瘤?②恶性肿瘤?
作者 秦华丽 蒋明
出处 《现代医药卫生》 2013年第6期958-958,共1页 Journal of Modern Medicine & Health
基金 湖南省自然科学基金资助项目(06jj50066)
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参考文献4

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