Ear canal and middle-ear tumors: a single-institution series of 87 patients.
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| Title: | Ear canal and middle-ear tumors: a single-institution series of 87 patients. |
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| Authors: | Nicoli, Taija K. (AUTHOR), Atula, Timo (AUTHOR), Sinkkonen, Saku T. (AUTHOR), Korpi, Jarkko (AUTHOR), Vnencak, Matej (AUTHOR), Tarkkanen, Jussi (AUTHOR), Mäkitie, Antti A. (AUTHOR), Jero, Jussi (AUTHOR) |
| Source: | Acta Oto-Laryngologica. Feb2022, Vol. 142 Issue 2, p132-139. 8p. |
| Subjects: | Ear tumors, Acquisition of data methodology, Academic medical centers, Ear canal, Retrospective studies, Cancer relapse, Individualized medicine, Treatment effectiveness, Medical records, Middle ear, Symptoms, Evaluation |
| Abstract (English): | Ear canal and middle ear tumors are rare and exhibit variability in histology and clinical manifestation. Surgical resection remains the treatment of choice, but individualized approach is needed to preserve function when possible. To review the management and outcome of ear canal and middle ear tumors at an academic referral center. Helsinki University Hospital (HUS) patient files were searched for clinically and histologically confirmed ear canal and middle ear tumors over a 14-year period. The minimum follow-up time was 2 years. Eighty-seven patients with 88 tumors were identified. There were 20 (23%) benign external auditory canal (EAC), 36 (41%) benign middle ear space (MES), 29 (33%) malignant EAC, and 3 (3%) malignant MES tumors. Most (92%) tumors were managed with primary resection. Thirty-five percent of the operatively managed patients had a residual or a recurrent tumor. EAC and MES tumors show great diagnostic and histologic heterogeneity with need for individualized investigative and treatment approaches. In benign tumors, we advocate aggressive local surgical control without sacrificing vital structures. In malignant tumors, we recommend local surgical control with or without adjunct RT. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): | 背景：耳道肿瘤和中耳肿瘤很少见, 并且在组织学和临床上表现出多样性。手术切除仍然是首选治疗方法, 但如有可能, 为保存功能, 需要使用个体化方法。 目的： 回顾在一个学术推荐中心进行的耳道肿瘤和中耳肿瘤治疗及其结果。 材料和方法：检索赫尔辛基大学医院 (HUS) 患者档案, 搜寻14 年期间经临床和组织学证实的耳道肿瘤和中耳肿瘤。最短随访时间为 2 年。 结果：确定了 87 名患者, 共患有 88 个肿瘤, 包括 20 个(23%) 良性外部耳道 (EAC)肿瘤、36个 (41%) 良性中耳空间 (MES)肿瘤、29个 (33%) 恶性 EAC肿瘤 和 3个 (3%)恶性 MES 肿瘤。大多数 (92%) 肿瘤经原发切除进行治疗。百分之三十五的手术治疗患者有残留或复发的肿瘤。 结论和意义：EAC肿瘤 和 MES 肿瘤表现出很大的诊断和组织学异质性, 需要个体化的检查和治疗方法。对于良性肿瘤, 我们提倡在不牺牲重要结构的情况下进行非保守局部手术控制。对于恶性肿瘤, 我们推荐使用或不使用辅助放疗的局部手术控制。 [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Oto-Laryngologica is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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