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某男,37岁,三年前右耳流脓,痒,听力下降,二年前流血性分泌物,近四个月右耳痛,右侧头顶、枕部疼痛,渐加重,始终无恶心、呕吐、眩晕、耳鸣及体态不稳,无视物模糊。X线乳突片见:右乳突区密度增高,气房减少,未见骨破坏。右外耳道有肉芽组织,活检未见癌,右鼓膜紧张部穿孔,无脓性分泌物。右耳混合性聋,无自发性眼震和面瘫。行右乳突根治术,见右鼓窦及上鼓室有肉芽组织及少许脓液,有乳头状瘤样新生物,质脆,鼓室盖有骨质破坏。病理诊断:右中耳鳞癌。术后头痛不缓
A man, 37 years old, suffered ear pruritus three years ago, itch, hearing loss, bleeding discharge two years ago, right ear pain in the past four months, right head, occipital pain, getting heavier, there is no nausea, Vomiting, dizziness, tinnitus, and unsteady posture, ignoring blurred objects. X-ray mastoid tablets see: the density of the right mastoid region increased, air space reduced, no bone destruction. There was granulation tissue in the right external auditory canal, no cancer was seen in the biopsy, perforation of the right tympanic membrane was perforated, and there was no purulent discharge. The right ear was mixed with no spontaneous nystagmus and facial paralysis. Right mastoidectomy, see the right sinus and upper tympanum with granulation tissue and a little pus, papillary tumor-like new creatures, crisp, tympanic cap bone destruction. Pathological diagnosis: right middle ear squamous cell carcinoma. No headache after surgery