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患者男性,46岁,农民。四年前右耳廓长一小包块,无特殊不适。于1983～1985年初在其他医院反复手术切除三次,术后均很快复发,包块增大,局部胀痛剧烈,以致夜不能寂.使用镇静剂如强痛定,杜冷丁等效果不佳,因病曾企图自杀。于1985年12月6日入院。检查:神志清楚,头颅大小正常,右耳廓及颞部可见10×9×5cm褐黑色肿块,表面凸凹不平呈菜花状。整个耳廓均受累,溃烂,有恶臭。耳根周围组织被浸润,基底部质硬,右耳后表浅淋巴结肿大。X线。头颅摄片未见颅骨破坏。于1985年12月18日在全麻下切除肿瘤组织及耳廓周围的头皮、颞肌,同时清扫耳后淋巴结。肿瘤组织血供丰富,止血后应用
The patient was male, 46 years old, farmer. Four years ago, the right ear was a small piece and there was no special discomfort. At the beginning of 1983 to 1985, repeated surgical resections were performed three times in other hospitals. The recurrences quickly recurred after the operation. Mass enlargement and local pain were so intense that they could not sleep at night. The use of sedatives such as buprenorphine, dutogine, etc. was not effective. The disease had attempted suicide. Admitted to hospital on December 6, 1985. Examination: Conscious, normal head size, visible brown and black masses of 10 × 9 × 5 cm in the right auricle and sacral area, uneven surface with cauliflower. The entire auricle is affected, ulcerated, and foul-smelling. The tissues around the ear were infiltrated, the basement was hard, and the superficial lymph nodes were enlarged behind the right ear. X line. No skull damage was seen on the head radiograph. On December 18, 1985, under the general anesthesia, the scalp and diaphragm around the auricle were removed and the postauricular lymph nodes were cleaned. Tumor tissue is rich in blood supply, after hemostasis