乳突部骨化纤维瘤一例
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昆明医科大学第一附属医院耳鼻咽喉科

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人社部留学回国人员择优资助项目(编号:2011WS0051)


A case report of ossifying fibroma of the mastoid process
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Department of Otorhinolaryngology, First Affiliated Hospital of Kunming Medical University

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    摘要:目的:通过对罕见的案例分析和文献复习,探讨乳突部骨化纤维瘤(OF)的临床表现、诊断及治疗,提高对该病的认识,减少漏诊误诊。方法:报告1例于2020年8月24日就诊的乳突部OF的女性患者,进行临床及影像学检查后,在全麻下行乳突部肿瘤切除术,术后随访12月。结果:术后病理:骨化性纤维瘤。术后随访12月无复发。结论:发生在乳突部OF临床上十分罕见,早期无明显临床表现,易被漏诊。目前认为影像学与组织病理学分析是确诊及分类的主要依据,手术切除是患者出现临床症状后的首选的治疗方法,而具体的治疗方式应根据肿块的大小、局限性、侵袭程度、周围结构受累情况、临床表现以及患者的预后、耐受程度来灵活选择。

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    Abstract: Objectives To discuss the clinical manifestations,histopathological features,diagnosis and treatment of ossifying fibroma(OF) of the mastoid process by by reporting a rare case and reviewing the relevant literature,so as to improve the understanding of this disease and reduce missed diagnosis and misdiagnosis. Methods This report reports a case of a female patient with OF of the mastoid process who was admitted to hospital on August 24, 2020. Clinical and imaging examinations were performed, and the mastoid tumor was removed under general anesthesia. Postoperative follow-up was 12 months. Results The histopathology confirmed OF. No recurrence occurred during the follow-up for 12 months.?Conclusion OF is rare to occur in the mastoid of temporal bone, There is no obvious clinical manifestations in the early stage of the disease. This paper emphasizes that in ossifying fibroma: imaging and histopathological analysis is the main basis of diagnosis and classification, Surgical resection is a preferred selection when the patient develops clinical manifestations, and the specific treatment method of OF should be flexibly selected according to the tumor size, limitations, degree of invasion, involvement of surrounding structures, clinical manifestations, prognosis and tolerance of patients.

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  • 收稿日期:2021-09-28
  • 最后修改日期:2021-11-16
  • 录用日期:2021-11-17
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