摘要
患者,男,52岁,因右侧听力下降3个月于2007年6月14日入住解放军总医院耳鼻咽喉-头颈外科。患者半年前曾因右侧前组鼻窦炎伴鼻息肉在外院行鼻内镜下右侧前组鼻窦开放、息肉切除术。手术顺利,术后定期鼻内镜下换药。无耳鸣、耳痛、耳流脓;无鼻出血、头痛、头晕。入院查体见右侧外耳道清洁,鼓膜完整,呈淡黄色,轻度凹陷,鼓膜运动差。
The patient,a 52year old male was admitted to the hospital,because of right hearing loss before three months.Six months ago,the patient had the right former group sinusitis and nasal polyps,and had the right former group sinus open and polypectomy operation outside the hospital.The surgery was uneventful and the postoperative dressing was done.He has no history of tinnitus,earache,ear pus,epistaxis,headache,dizziness. Physical examination on admission shows the right external auditory canal was clean,tympanic membrane integrity, pale yellow,mild depression,and poorly eardrum movement.The electronic nasopharyngoscopy show a black mass in the edge of the anterior lip of the right eustachian tube.The mass has a smooth surface,and only seen partly.Nasopharynx magnetic resonance shows in the right pharyngeal orifice visible there was a round short T2 node,maximum diameter of 13mm,the border was clear.The parapharyngeal space had been compressed which close to the right eustachian tube torus.After the scan enhanced,the lesions was strengthened.The pure tone audiometry shows right mild conduction deafness,and the acoustic impedance showing right type B tympanogram curve.Eardrum puncture extracted got about 0.2ml yellow liquid.Otitis media with effusion is considered.A biopsy is taken by means of the nasal endoscopic.The pathology report is the right eustachian orifice malignant melanoma. The immunohistochemical examination（Horton-Magath-Brown 45）showed a positive reaction.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第4期221-222,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
咽鼓管
黑色素瘤
eustachian tube
melanoma
