颞骨类癌6例临床分析

6 cases of temporal bone carcinoid clinical analysis

目的:总结分析颞骨类癌的临床特征、鉴别诊断及手术治疗方法。方法:回顾性总结分析6例经病理证实的颞骨类癌患者的临床资料,并复习相关文献。依据病变范围行颞骨次全切除手术或颞骨扩大切除术。结果:6例患者影像学资料示颞骨不同范围的占位病变,术后病理均为颞骨类癌,最终诊断为单侧原发性颞骨类癌。第1次手术后,面瘫复发2例,颅内转移1例。治疗后无并发症,随访5例无复发及远处转移,仅1例因肝转移死亡。结论:颞骨类癌临床上少见,无特征性临床及影像学表现,易与中耳炎或中耳其他良、恶性肿瘤混淆。确诊主要依靠病理及免疫组织化学。一般以手术治疗为主。早期发现并彻底切除肿瘤者转移和复发率低。

Objective：This study is aimed at reporting 6 cases of temporal bone carcinoid and analyzing clinical and prognostic features of temporal bone carcinoid. Method：Clinical data from 6 cases of temporal bone carcinoid treated from July 2008 to July 2015 at the Chinese PLA General Hospital were reviewed. Based on temporal bone lesions row subtotal temporal bone resection or temporal bone extensive excision. Result：Six patients imaging data shows a different range of temporal bone lesions. Pathological both temporal bone carcinoid. The final diagnosis is unilateral primary temporal bone carcinoid. All of them received surgical partial resection of the temporal bone in our hospital,and there were no serious complications. Follow-up of 5 cases had no recurrence, and l case died spread to the liver. Conclusion：The diagnosis of temporal bone carcinoid relies mainly on pathology and immunohistochemistry. Temporal bone carcinoid could be treated by surgical.