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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Recurrent ceruminous adenocarcinoma of the external auditory canal.
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Recurrent ceruminous adenocarcinoma of the external auditory canal.

机译：外耳道复发性陶瓷性腺癌。

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摘要

Ceruminous adenocarcinoma is a rare malignant neoplasm of the glandular structures of the external auditory canal. The true incidence and behavior of these rare tumors are still unclear due to confusing terminology, classification and histological definitions. Therefore, the ENT surgeon faces major difficulties in choosing the method of management--conservative or more radical surgery--with the addition or not of radiotherapy. We report a 57-year-old male patient with a recurrence of a previously excised (maybe partially) and irradiated ceruminous adenocarcinoma of the right external auditory canal. Aggressive surgery was considered as the treatment of choice. However, the patient refused this approach and, as a consequence, a conservative excision was performed but with histologically confirmed healthy margins. To our surprise, the patient showed an excellent response and he is disease free 3 years following the last operation. Although recurrences usually occur within months after inadequate management, some may happen even 7 years post treatment. Therefore, routine long-term follow-up was advised.
机译：陶瓷腺癌是外耳道腺结构的罕见恶性肿瘤。由于术语，分类和组织学定义的混乱，这些罕见肿瘤的真正发病率和行为仍不清楚。因此，耳鼻喉科医生在选择是否增加放疗的管理方法（保守或更彻底的手术）方面面临着重大困难。我们报告一位57岁的男性患者复发的右外耳道先前切除（也许部分）和辐射的陶瓷性腺癌。积极的手术被认为是治疗的选择。但是，患者拒绝了这种方法，因此进行了保守切除，但在组织学上已确认健康边缘。令我们惊讶的是，患者表现出出色的反应，并且在上次手术后三年没有疾病。尽管复发通常发生在管理不善后的几个月内，但有些甚至可能在治疗后7年发生。因此，建议进行常规的长期随访。

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