中耳类癌一例及文献复习  

Middle ear carcinoid:A case report and literature review

作　　者：桑晶 杨欣欣[2] 李晓瑜[2] Sang Jing;Yang Xinxin;Li Xiaoyu(School of Clinical Medicine,Jining Medical University Jining,272013,Shangdong,China;Affiliated Hospital of Jining Medical University Jining 272029,Shangdong,China)

机构地区：[1]山东济宁医学院临床医学院,山东济宁272067 [2]山东济宁医学院附属医院,山东济宁272029

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第1期175-178,F0003,共5页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：中耳类癌是一种罕见的低度恶性神经内分泌腺瘤。通过整理分析一例中耳类癌患者的临床症状、体征、影像学检查及病理、手术治疗的特点以及随访资料,该患者以听力下降为主诉,术前发现鼓室内红色新生物,术中发现鼓室灰红色肿物,术后病理诊断为中耳类癌。该患者随访至今3.5年,肿瘤无复发。复习国内外文献中报道的中耳类癌的病例发现,虽然中耳临床表现、流行病学特点、影像学检查缺乏明显特异性,最终明确诊断需要依据术后的病理结果,但从病史、耳内镜、影像学检查仍可以发现一些临床特征。临床上我们需要对该病充分认识,术前充分评估,术中行快速病理检查,术中切除彻底,并术后做好随访观察,尽可能提高患者预后。Middle ear carcinoid is a rare,low-grade neuroendocrine adenoma.This study analyzed the clinical symptoms,signs,imaging examinations,pathology,surgical treatment characteristics,and follow-up data of a patient with middle ear carcinoid tumors.The patient presented with hearing loss and red neoplasms in the tympanum preoperatively.A gray-red mass was observed in the tympanum,with the postoperative pathological diagnosis confirming middle ear carcinoid.The patient has been followed up for 3.5 years with no tumor recurrence.Reviewing cases from domestic and foreign literature revealed that while clinical manifestations,epidemiological characteristics,and imaging examinations lack specificity,postoperative pathological results remain crucial for diagnosis.Medical history,ear endoscopy,and imaging examinations can aid in detecting clinical features.Comprehensive understanding,preoperative evaluation,rapid intraoperative pathological examination,complete resection,and postoperative follow-up are essential for improving patient prognosis.

关 键 词：中耳类癌 神经内分泌腺瘤 听力下降 手术 

分 类 号：R73[医药卫生—肿瘤]