嗜酸性淋巴肉芽肿是一种病程缓慢,原因不明,主要累及皮下软组织与表浅淋巴结的病变。因本病临床少见,常易误诊。本文报告一例,经手术治疗,效果良好,随访半年,未见复发。 范某,男,3岁。因左额部包块及外耳道溢血性分泌物4个多月,于1989年4月5日入院。患者在门诊曾长期误诊为左耳慢性中耳炎,并发外耳道肉芽组织形成。除颈部、腋下可触及到黄豆大小表浅淋巴结外,余无异常。耳鼻喉科检查:左额部见1.5×2×3Cm~3圆形包块,边界清楚,质地柔软,不红肿,不痛。左外耳道被暗红色肉芽组织填塞,有少许血性分泌物溢出,鼓膜不易见。X线摄片左额部3×2cm~2椭圆形破坏病灶,边缘有钙化,中间为砂粒致密影,呈 Eosinophilic lymphogranuloma is a slow course of the disease. The cause is unknown. It mainly involves the subcutaneous soft tissue and superficial lymph node lesions. Due to rare clinical disease, often misdiagnosed. This article reports one case. After surgery, the result was good. No recurrence was found after six months of follow-up. FAN, male, 3 years old. The left frontal mass and external auditory canal secretions were admitted to hospital on April 5, 1989 for more than four months. The patient had been misdiagnosed as chronic otitis media of the left ear for a long period of time in the outpatient department and developed granulation tissue in the external auditory canal. Except for the superficial and superficial lymph nodes in the neck and under the palate, no abnormalities were found. ENT examination: see 1.5 × 2 × 3Cm~3 circular masses in the left frontal area, with clear boundaries, soft texture, no swelling, no pain. The left external auditory canal is filled with dark red granulation tissue, and there is a little bloody discharge. The tympanic membrane is not easy to see. The left frontal part of the X-ray film was destroyed by a 3×2cm~2 elliptical shape, with calcified edges and dense sand in the middle.