Low-grade (polymorphous) adenocarcinoma of the middle ear mimicking a jugulotympanic paraganglioma.

(Polymorphes) Low-Grade-Adenokarzinom des Mittelohrs als Imitator eines jugulotympanalen Paraganglioms.

Journal

HNO
ISSN: 1433-0458
Titre abrégé: HNO
Pays: Germany
ID NLM: 2985099R

Informations de publication

Date de publication:
Aug 2021
Historique:
accepted: 25 01 2021
pubmed: 8 6 2021
medline: 1 9 2021
entrez: 7 6 2021
Statut: ppublish

Résumé

A 64-year-old female patient presented with otalgia and hearing loss in the right ear. On otoscopy, the right tympanic membrane was highly vascularized and bulged into the anteroinferior quadrant. High-resolution computed tomography revealed an osteolytic lesion with occupation of the hypotympanum extending into the petrous apex and right parapharyngeal space as well as infiltration of the wall of the right internal carotid artery. MRI strengthened the suspicion of a jugulotympanic paraganglioma. The biopsy material obtained through exploratory tympanotomy was assessed as a low-grade polymorphic adenocarcinoma. The tumor was treated with definitive chemoradiotherapy. Posttherapeutic imaging after 4 months did not show any evidence of tumor progression.

Identifiants

pubmed: 34097084
doi: 10.1007/s00106-021-01028-x
pii: 10.1007/s00106-021-01028-x
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

88-91

Informations de copyright

© 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature.

Références

Mimouni O, Sanjuan M, Giusiano S, Lavieille JP, Magnan J, Deveze A (2010) Mucoepidermoid carcinoma arising from the middle ear: a rare histopathologic condition. Otol Neurotol 31:858–860
doi: 10.1097/MAO.0b013e3181c2a06c
Magliulo G, Vingolo GM, Cristofari P, Natale AS (1993) Primary adenoid cystic carcinoma of the middle ear and mastoid. Acta Otorhinolaryngol Belg 47:39–42
pubmed: 8385874
Ruiz-Godoy L, Suarez L, Mosqueda A, Meneses A (2007) Polymorphous low-grade adenocarcinoma of the parotid gland. Case report and review of the literature. Med Oral Patol Oral Cir Bucal 12:E30–E33
pubmed: 17195824
Charous DD, Cunnane MF, Rosen MR, Keane WM (2005) Recurrent polymorphous low-grade adenocarcinoma manifesting as a sinonasal mass: a case report. Ear Nose Throat J 84:354–356–357
doi: 10.1177/014556130508400614
Wang CH, Li YY, Han FY (2011) Polymorphous low-grade adenocarcinoma of ear: one case report. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 46:156–157
pubmed: 21426715

Auteurs

Konstantinos Mantsopoulos (K)

Department of Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 91054, Erlangen, Germany. konstantinos.mantsopoulos@uk-erlangen.de.

Lava Taha (L)

Department of Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 91054, Erlangen, Germany.

Rainer Fietkau (R)

Department of Radiation Oncology, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Joachim Hornung (J)

Department of Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 91054, Erlangen, Germany.

Abbas Agaimy (A)

Institute of Pathology, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Heinrich Iro (H)

Department of Otolaryngology, Department of Otorhinolaryngology, Head and Neck Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Waldstraße 1, 91054, Erlangen, Germany.

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