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患者,男,30岁,因右耳痛伴流腐肉水样物4月余入院。检查:右耳(?)前上方肿胀,皮肤无红热,有压痛,质中度,边界不清,听力明显减退,呈传导性聋。外耳道内有腐肉水样分泌物,洗净后见外耳道骨段上壁下塌,鼓膜大穿孔,中耳腔有暗红色肉芽样肿物,触之易出血。门诊病理证实:右耳黄色肉芽肿。头颅侧位、乳突劳氏位片示右摄骨鳞部大片透光区,边缘清晰。行右鼓室探查;发现外耳道骨段上壁、鼓室天盖骨破坏,腔内充满暗红色肉芽样肿物,触之极易出血。 切取部分肿物送病检;病理报告:右鼓室巨细胞肉芽肿。术后两周~(60)Co放疗。投照总量为4000CGv。放疗后2周
The patient, male, 30 years old, was admitted to hospital for more than 4 months because of right ear pain with watery carrion. Check: the right ear (?) Before the top of the swelling, the skin without red hot, tenderness, moderate quality, the boundary is unclear, hearing loss significantly, was conductive deafness. External auditory meatal watery secretions, see the external auditory canal after removal of the upper wall collapse, tympanic membrane perforation, the middle ear cavity dark red granulation-like mass, touch the easy bleeding. Outpatient pathology confirmed: the right ear yellow granuloma. Cephalothorax, mastoid labrum show right supine at the large translucent area, clear edge. Row right tympanometry; found that the external auditory meatus wall, tympanic cavern bone destruction, the cavity is filled with dark red granulation-like mass, touch the very easy to bleed. Cut some of the tumor sent to the pathological examination; pathology report: right tympanocyst granulomatosis. Two weeks after surgery ~ (60) Co radiotherapy. Projected total amount of 4000CGv. 2 weeks after radiotherapy