顔面神経麻痺により発症し多発転移をきたした中耳カルチノイド腫瘍例

  • 岡本 幸美
    大阪市立大学大学院医学研究科耳鼻咽喉病態学
  • 角南 貴司子
    大阪市立大学大学院医学研究科耳鼻咽喉病態学
  • 佐竹 友紀
    大阪市立大学大学院医学研究科耳鼻咽喉病態学
  • 神田 裕樹
    大阪市立大学大学院医学研究科耳鼻咽喉病態学
  • 井口 広義
    大阪市立大学大学院医学研究科耳鼻咽喉病態学

書誌事項

タイトル別名
  • A Case of Middle Ear Carcinoid that Presented with Facial Nerve Paralysis and Multiple Metastases
  • 臨床 顔面神経麻痺により発症し多発転移をきたした中耳カルチノイド腫瘍例
  • リンショウ ガンメン シンケイ マヒ ニ ヨリ ハッショウ シ タハツ テンイ オ キタシタ チュウジ カルチノイド シュヨウレイ

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<p>A 56-year-old man visited our hospital with the chief complaint of facial palsy. Although a mass was detected in his right middle ear, he refused to undergo further examination and failed to return for follow-up. When he revisited the hospital 2 years later due to right otalgia, a tumor invading the skull was detected. Because the patient did not wish to undergo surgery, chemoradiotherapy was administered, which resulted in a reduction of the tumor volume. After another 2 years, the tumor regrew and the facial palsy became more severe. Chemotherapy was administered again; however, it was less effective this time, and the tumor gradually became larger and gave rise to multiple metastases in the lung, liver, and bone.</p><p>Middle ear carcinoids are relatively rare, and only a few cases of this condition presenting with facial palsy have been reported. These carcinoids are generally considered to be slow-growing, and often follow a favorable course. However, our patient did not wish to receive standard care, and ultimately developed multiple metastases, with an unfortunate outcome.</p>

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