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外耳道横纹肌肉瘤不多见,现将我们收治的1例报道如下: 患者男性、42岁,于1979年8月间游泳后感到右耳内塞痛,日渐加重。经检查见右外耳道充血,有黄豆大小的结节样肿物,质硬。切除后病理检查,为“外耳道横纹肌肉瘤”。用~(60)Co放疗,剂量为4820rad/32天。后即进行巩固性药物化疗。先后采用“VAC”方案(长春新硷,更生霉素,环磷酰胺)治疗二个疗程。经定期随访至83年,患者已恢复工作,未发现复发。
External rhabdomyosarcoma of the ear canal is rare. We now report a case in which we were treated as follows: The patient was a 42-year-old man. He felt a pain in his right ear after swimming in August 1979 and he was getting heavier. After examination, see the right external ear canal congestion, soy-sized nodular mass, hard. The pathological examination after resection was “External auditory canal rhabdomyosarcoma”. Radiotherapy with ~(60)Co was given at a dose of 4820 rad/32 days. Consolidated chemotherapy was followed. The “VAC” regimen (Changchun Xinsheng, Dactinomycin, Cyclophosphamide) was used to treat the two courses. After regular follow-up to 83 years, the patient has resumed work and no recurrence has been found.