报告1例68岁的男性病人,有剧烈耳痛、头痛、颈部疼痛2个月,无糖尿病史及耳疾史,有Waldenstrom巨球蛋白血症2年。查见侧面神经和舌下神经麻痹,右外耳道深部骨质暴露,右鼓膜肿胀,轻度传音性聋,诊断为恶性外耳道炎。轴位CT扫描示右颅中窝有一浸润性、性质不明的肿块,向下侵入右侧鼻咽部。鼻咽部未查见明显包块。活检示大量浆细胞和瘤样淋巴细胞,免 Report a 68-year-old male patient with severe earache, headache, neck pain for 2 months, no history of diabetes and ear disease, with Waldenstrom megacroteinemia for 2 years. Visible facial nerve and sublingual nerve paralysis, the right outer ear canal deep bone exposure, swelling of the right tympanic membrane, mild acoustic deafness, diagnosis of malignant otitis media. Axial CT scan showed a right infundibular fossa infiltration, the nature of unknown mass, down into the right nasopharynx. Nasopharyngeal did not check the obvious mass. Biopsy showed a large number of plasma cells and tumor-like lymphocytes, free