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外耳道皮肤癌放射治疗并发颞骨坏死者,国内外均罕见。我院1985年遇见1例,特报道如下。男,67岁,工人,已婚,病历号437262。右耳后肿胀、耳道流脓两月,1985年4月22日入院。缘于1971年1月18日因右外耳道皮肤癌,曾作阶段性放射治疗半年。放疗后身体情况尚好,但右耳后反复红肿,听力减退,压之有脓从耳内溢出。近两个月来觉右颞侧头痛,无发烧,无(口恶)心、呕吐。体查:神清,合作。消瘦,全身检查无特殊异常。局部检查:右侧头颈部皮肤斑白,右耳耳廓皮肤粗糙增厚,耳后肿胀,有波动感,压之有脓从中耳腔溢出,鼓膜大穿孔。余未见异常。
Radiotherapy for external auditory canal skin cancer complicated by sacral necrosis is rare at home and abroad. One case was met in our hospital in 1985. Special reports are as follows. Male, 67 years old, worker, married, medical record No. 437262. The right ear was swollen and the ear canal was drained for two months. He was admitted to hospital on April 22, 1985. Due to skin cancer of the right external auditory canal on January 18, 1971, staged radiation therapy was used for six months. After the radiotherapy, the body condition is still good, but the right ear is red and swollen repeatedly, hearing loss, pus overflow from the ear pressure. In the past two months, I have experienced a headache on the right side, no fever, no heart or vomiting. Physical examination: God clear, cooperation. Weight loss, no special abnormalities in body examination. Partial examination: The skin on the right side of the head and neck is white, and the skin of the right ear is roughened and thickened. The ear is swollen. There is a sense of volatility. There is pus overflowing from the middle ear cavity and large tympanic membrane perforation. I saw no exception.