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患者男,54岁。1993年10月中旬始,无何明显诱因,自觉右耳闷胀感,听力逐日下降,伴有耳鸣,偶有耳后跳痛。曾在地方医院诊断为分泌性中耳炎,予以鼓膜穿刺抽液三次,治疗长达二个月余未愈。于1993年12月25日入我院。检查见右耳内大量血性分泌物溢出。清拭后见外耳道被深红色息肉样物塞满,肿物质脆,易出血,鼓膜窥不见,肿物送检。病理诊断:耳横纹肌肉瘤。CT扫描未见确切肿块及骨质破坏征象。1993年12月28日在局麻下行右乳突扩大根治术,见乳突部骨质疏松,黑灰色,乙状窦自然暴露约有1.5×
Male patient, 54 years old. Beginning in mid-October 1993, no obvious incentive to feel the right ear muffled sense of hearing decreased daily, accompanied by tinnitus, occasional ear pain after the jump. Had diagnosed as secretory otitis media in local hospitals, to the tympanic membrane puncture pumping three times, the treatment of up to two months and more. In December 25, 1993 into our hospital. Check to see a large number of bloody discharge in the right ear overflow. After cleaning, see the external auditory meatus stuffed crimson polyp samples, swollen material crisp, easy bleeding, eardrum glimpse, mass inspection. Pathological diagnosis: ear rhabdomyosarcoma. CT scan no clear signs of lumps and bone destruction. December 28, 1993 under local anesthesia radical right mastoidectomy, see mastoid osteoporosis, dark gray, sigmoid sinus natural exposure of about 1.5 ×