颞骨骨瘤--一种罕见的良性肿瘤:病例系列

Rushikesh Harkut, Roshni Mohanty, Ninad Gaikwad, Amruta Tantak
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摘要

背景:成骨细胞瘤是一种生长缓慢的良性间叶肿瘤。虽然骨瘤可出现在任何骨骼中,但其在颞骨和中耳中的罕见性(占良性颅骨肿瘤的0.1%至1%)强调了其独特性。骨瘤最初无症状,随着体积增大可能会出现症状,通常会引起疼痛。骨瘤的独特发病率强调了提高警惕的重要性,因为早期可能没有明显症状。对骨瘤的这一认识强调了临床表现不断变化的可能性,尤其是疼痛,随着这些良性肿瘤的发展,有必要引起重视。病例系列:我们描述了 3 例独特的无痛性耳后肿胀病例。临床评估和颞骨高分辨率 CT 扫描有助于诊断肿物。所有患者均接受了手术切除。手术后,组织病理学检查通过仔细检查组织特征,证实了诊断结果,并确认肿物的性质为骨瘤。这种综合方法凸显了骨瘤病例中准确诊断和后续手术干预的重要性。结论:颞骨乳突部位的骨瘤通常表现为无症状的肿胀,导致外观失gurement,可通过全切除术进行有效治疗,预后良好。尽管缺乏耳部相关症状,但仍需警惕综合征关联和颞外症状。及时诊断和治疗至关重要,尤其是对于有疼痛等潜在并发症的病例。鉴于
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TEMPORAL BONE OSTEOMA – A RARE BENIGN TUMOR : A CASE SERIES
Background: Osteomas, arising from osteoblasts, are slow-growing benign mesenchymal tumors. While they can appear in any bone, their rarity in the temporal bone and middle ear (0.1% to 1% of benign skull tumors) emphasizes their distinctiveness. Initially asymptomatic, osteomas may become symptomatic with increasing size, commonly causing pain. Their unique prevalence underscores the importance of vigilance, as early stages may lack noticeable symptoms. This insight into osteomas highlights the potential for evolving clinical manifestations, particularly pain, necessitating attention as these benign tumors progress. The Case series: We are describing a case series of 3 unique cases of painless post-aural swelling. Clinical evaluation and a high-resolution CT scan of the temporal bone aided in diagnosing the swelling. Surgical excision was done for all the patients. Post-surgery, histopathological examination conrmed the diagnosis by scrutinizing tissue characteristics, validating the nature of the swelling as an osteoma. This comprehensive approach highlights the importance of accurate diagnosis and subsequent surgical intervention in osteoma cases. Osteomas in Conclusion: the mastoid area of the temporal bone, often presenting as asymptomatic swelling causing cosmetic disgurement, can be effectively treated with total excision, yielding a good prognosis. Despite the lack of ear-related symptoms, vigilance for syndromic associations and extratemporal symptoms is essential. Timely diagnosis and management, especially in cases with potential complications like pain, are crucial. Given the
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