cancer of middle ear chunfu dai m.d & ph.d. background primary tumor in middle cavity primary...

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Cancer of middle ear Cancer of middle ear Chunfu Dai M.D & Ph.D Chunfu Dai M.D & Ph.D

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Page 1: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

Cancer of middle earCancer of middle ear

Chunfu Dai M.D & Ph.DChunfu Dai M.D & Ph.D

Page 2: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

BackgroundBackground

Primary tumor in middle cavityPrimary tumor in middle cavity Predilection in 40-60 yPredilection in 40-60 y Dominated by squamous carcinomaDominated by squamous carcinoma Associated with chronic otitis mediaAssociated with chronic otitis media

Page 3: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

Clinical presentationsClinical presentations

Ear discharge with bloodEar discharge with blood Otalgia and headacheOtalgia and headache Hearing lossHearing loss Facial paralysisFacial paralysis DysplagiaDysplagia Involvement of other cranial nervesInvolvement of other cranial nerves Metastasis to associated lymphatic node Metastasis to associated lymphatic node

Page 4: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

Diagnosis Diagnosis

Clinical demonstrationsClinical demonstrations Physical examinationPhysical examination

Neoplasm in middle earNeoplasm in middle ear HemorrhageHemorrhage

CT, MRI: to determine the extension of massCT, MRI: to determine the extension of mass Biopsy: to make histological diagnosisBiopsy: to make histological diagnosis Genernal examination: to exclude remote metGenernal examination: to exclude remote met

astasisastasis

Page 5: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

InterventionIntervention

Comprehensive therapyComprehensive therapy Radiotherapy+surgery+chemotherapyRadiotherapy+surgery+chemotherapy

Surgery Surgery Partial temporal bone resectionPartial temporal bone resection Subtotal temporal bone resectionSubtotal temporal bone resection Temporal bone resectionTemporal bone resection

Basilar carcinoma: surgery, no extra radiotherapyBasilar carcinoma: surgery, no extra radiotherapy Rabraddmone carcinoma: chemotherapy+radiotheRabraddmone carcinoma: chemotherapy+radiothe

rapy+surgeryrapy+surgery

Page 6: Cancer of middle ear Chunfu Dai M.D & Ph.D. Background Primary tumor in middle cavity Primary tumor in middle cavity Predilection in 40-60 y Predilection

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