中国眼耳鼻喉科杂志2024，Vol.24Issue(5) ：427-433.DOI:10.14166/j.issn.1671-2420.2024.05.015

原发性外耳道癌30例手术治疗及疗效分析

Surgical treatment and efficacy analysis of 30 cases with primary external auditory canal carcinoma

李亦蒙 王雪乔 吴净芳 赵卫东 梅红林 鲁小玲 王镜涵 倪玉苏
中国眼耳鼻喉科杂志2024，Vol.24Issue(5) ：427-433.DOI:10.14166/j.issn.1671-2420.2024.05.015
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  • 维普
  • 万方数据

原发性外耳道癌30例手术治疗及疗效分析

Surgical treatment and efficacy analysis of 30 cases with primary external auditory canal carcinoma

李亦蒙 1王雪乔 2吴净芳 1赵卫东 3梅红林 1鲁小玲 1王镜涵 1倪玉苏1
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作者信息

  • 1. 复旦大学附属眼耳鼻喉科医院耳鼻咽喉头颈外科 上海 200031
  • 2. 复旦大学附属金山医院耳鼻咽喉头颈外科 上海 201508
  • 3. 复旦大学附属眼耳鼻喉科医院神经外科 上海 200031
  • 折叠

摘要

目的 分析 30 例原发性外耳道癌的手术治疗方式及临床疗效.方法 回顾分析 2011 年 11月—2022 年 1 月手术治疗的 30 例外耳道癌患者的临床资料.总结治疗要点,分析并评价术后1～5 年肿瘤特异生存率(TSS)及无瘤生存率(TFS),观察术后并发症.结果 30 例患者中,鳞癌 15 例、腺癌(腺样囊性癌、耵聍腺癌、汗腺癌)15 例.鳞癌组1 年、3 年、5 年TSS分别为92.3%、84.6%、84.6%,TFS分别为92.3%、84.6%、84.6%.腺癌组1 年、3 年、5 年TSS均为100%,TFS分别为92.3%、84.6%、76.9%.术后切口感染 2 例,一过性后组脑神经麻痹1 例,经过治疗后均康复.结论 彻底的手术治疗及辅助放化疗治疗外耳道癌效果良好,术后并发症可控.

Abstract

Objective To analyze the surgical treatment and clinical efficacy of 30 patients with primary external auditory canal carcinoma.Method A retrospective analysis was conducted on the clinical data of 30 patients with primary external auditory canal carcinoma who had undergone surgical treatment from November 2011 to January 2022.The key points of treatment were summarized.The tumor specific survival rate(TSS)and tumor free survival rate(TFS)1 to 5 years after surgery were analyzed and evaluated.And the postoperative complications were observed.Result Among the 30 patients,there were 15 patients of squamous cell carcinoma(SCC)and 15 cases of adenocarcinoma(including adeno cystic carcinoma,cerumen adenocarcinoma and sweat gland carcinoma).The 1-,3-and 5-year TSS of SCC group were 92.3%,84.6%and 84.6%,respectively,and the TFS were 92.3%,84.6%and 84.6%,respectively.The 1-,3-and 5-year TSS of ceruminous carcinoma group were all 100%and the TFS were 92.3%,84.6%and 76.9%,respectively.There were 2 cases of postoperative incision infection and 1 case of transient posterior cerebral nerve paralysis,all of which recovered after treatment.Conclusion Thorough surgical treatment and adjuvant chemoradiotherapy have good effects on the treatment of external auditory canal carcinoma,and postoperative complications are controllable.

关键词

外耳道癌/颞骨外侧切除/颞骨次全切除/生存率

Key words

External auditory canal carcinoma/Lateral temporal bone resection/Subtotal temporal bone resection/Survival

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出版年

2024
中国眼耳鼻喉科杂志
复旦大学附属眼耳鼻喉科医院

中国眼耳鼻喉科杂志

CSTPCD
影响因子：0.555
ISSN：1671-2420
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