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作 者:周其友[1] 黄德亮[1] 韩东一[1] 冯勃[1] 杨伟炎[1]
机构地区:[1]解放军总医院耳鼻咽喉-头颈外科,北京100853
出 处:《中华耳科学杂志》2004年第1期27-29,共3页Chinese Journal of Otology
摘 要:目的观察颞骨巨细胞病的临床病程,诊断和治疗。方法从我们科收集了5例颞骨巨细胞瘤且进行病理学分析。结果5例颞骨巨细胞瘤,其中女性1例,男性4例,年龄在28到73岁。1例患者病理分型为Ⅰ-Ⅱ级,4例为Ⅱ级。所有5例患者均进行了根治性切除和术后放疗,随访3到12年无复发。结论颞骨巨细胞瘤的诊断基于典型的病理特征,影像和临床表现。根治性切除是最适当的治疗方法,再加术后放射治疗多能获得长期治愈。Objective To investigate the clinical course, diagnosis, differential diagnosis and treatment of giant cell tumor of temporal bone (GCTTB). Method Five cases of GCTTB were collected from our department and analyzed clinico- pathologically. Result Five cases with the GCTTB are reported, including 1 female and 4males. The age of 5 patients was ranged from 28 to 73 years. One patient was pathological gradeⅠ-Ⅱ,and four gradeⅡ. Radical resections were performed in all five cases. Postoperative radiotherapy was conducted in all cases. There was no recurrence in this series after 3-12 years fellow-up. Conclusion Diagnosis of GCTTB is mainly based on typical histological features and imaging as well as clinical information. Radical surgical resection is believed to be the most suitable treatment for GCTTB and postoperative radiotherapy may be effective for long-term survival.
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