外耳道耵聍腺肿瘤

Cerumen gland tumors of external auditory canal

目的 探讨外耳道耵聍腺肿瘤的临床病理特点。方法 回顾分析 8例耵聍腺肿瘤的临床病理资料并复习文献。结果 8例中男 5例 ,女 3例 ,年龄 3 1～ 72岁 ,平均 48岁 ,左侧 5例 ,右侧 3例。其中多形性腺瘤 3例、腺瘤 1例、乳头状腺瘤 1例、腺癌 1例、腺样囊性癌 2例。 7例获随访 ,4例良性肿瘤无复发 ,3例恶性肿瘤中 1例腺样囊性癌于术后短期内复发死于肿瘤。结论 外耳道耵聍腺肿瘤少见 ,恶性者易复发及浸润颅骨 ,治疗以手术为主 ,术中冷冻切片可判断肿瘤性质、确定切除范围 。

Objective To study the clinicopathologic features of cerumen gland tumors of external auditory canal.Methods A total of 8 cases of cerumen gland tumors were studied by clinicopathology in combination with a review of literature.Results Among the eight case of cerumen gland tumors,there were 3 cases of pleomorphic adenoma,1 case of adenoma,1 cases of papillary adenoma,1 case of adenocarcinoma and 2 cases of adenoid cystic carcinoma.Four benign cases were alive without recurrence after operation,whereas 1 of the 3 malignant cases was recurred and died with the disease.Conclusion Cerumen gland tumors are rarely seen in the clinical and most of them are malignant,which tend to invade intracranial cavity.Radical resection is the first choice of treatment.