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An unusual middle-ear mass

Published online by Cambridge University Press:  09 July 2009

M Muller ,
I Zammit-Maempel ,
J Hill  and
B Wilkins
M Muller*
Affiliation:
Department of Radiology, Freeman Hospital, Newcastle upon Tyne, UK
I Zammit-Maempel
Affiliation:
Department of Radiology, Freeman Hospital, Newcastle upon Tyne, UK
J Hill
Affiliation:
Department of ENT, Freeman Hospital, Newcastle upon Tyne, UK
B Wilkins
Affiliation:
Department of Pathology, Freeman Hospital, Newcastle upon Tyne, UK
*
Address for correspondence: Dr Michelle Muller, Consultant Radiologist, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN, UK. E-mail: michelle.muller@nuth.nhs.uk
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Abstract

Objective:

We describe a case of endolymphatic sac tumour confined to the middle ear, which radiologically mimicked a glomus tympanicum, in a 58-year-old woman with tinnitus.

Case report:

A 58-year-old woman presented with a one-year history of right-sided tinnitus. The clinical, radiological and surgical features were felt to be in keeping with a glomus tympanicum. However, the histopathological picture was that of a low grade papillary carcinoma of the endolymphatic sac, i.e. an endolymphatic sac tumour.

Conclusion:

Endolymphatic sac tumours are classically locally aggressive and centred around the petrous temporal bone. Further growth results in complete replacement of the mastoid and petrous pyramid by tumour. To the best of our knowledge, there have been no previous reports of an endolymphatic sac tumour located solely within the hypo- and epitympanum of the middle ear.

Keywords

Carcinoma, PapillaryEndolymphatic SacEar, Middle
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 1 , January 2010 , pp. 108 - 110
Copyright
Copyright © JLO (1984) Limited 2009

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References

1 Kempermann, G, Neumann, HPH, Volk, B. Endolymphatic sac tumours. Histopathology 1998;33:2–10Google Scholar
2 Luff, DA, Simmons, M, Malik, T, Ramsden, RT, Reid, H. Pathology in focus; endolymphatic sac tumours. J Laryngol Otol 2002;116:398–401CrossRefGoogle Scholar
3 Devaney, KO, Ferlito, A, Rinaldo, A. Endolymphatic sac tumor (low grade papillary adenocarcinoma) of the petrous temporal bone. Acta Otolaryngol 2003;123:1022–6Google Scholar
4 Pollak, A, Bohmer, A, Spycher, M, Fisch, U. Are papillary adenomas endolymphatic sac tumours? Ann Otol Rhinol Laryngol 1995;104:613–19Google Scholar
5 Richards, PS, Clifton, AG. Radiology in focus: endolymphatic sac tumours. J Laryngol Otol 2003;117:666–9Google Scholar
6 Hassard, AD, Boudreau, SF, Cronn, CC. Adenoma of the endolymphatic sac. J Otolaryngol 1984;13:213–16Google ScholarPubMed
7 Heffner, DK. Low grade adenocarcinoma of probable endolymphatic sac origin: a clinicopathologic study of 20 cases. Cancer 1989;64:2292–3023.0.CO;2-#>CrossRefGoogle ScholarPubMed
8 Li, JC, Brackmann, DE, Lo, WWM, Carberry, JN, House, JW. Reclassification of aggressive adenomatous mastoid neoplasms as endolymphatic sac tumours. Laryngoscope 1993;103:1342–8CrossRefGoogle Scholar
9 Mukherji, SK, Albernaz, VS, Lo, WWM, Gaffey, MJ, Mergerian, CA, Feghali, JG et al. Papillary endolymphatic sac tumours: CT, MR imaging and angiographic findings in 20 patients. Radiology 1997;202:801–8Google Scholar
10 Roche, P, Dufour, H, Figarella-Branger, D, Pellet, W. Endolymphatic sac tumours: report of 3 cases. Neurosurgery 1998;42:927–32Google Scholar
11 Jeijneveld, J, Hanlo, P, Groenewoud, G, Jansen, G, van Overbeeke, K, Tulleken, C. Endolymphatic sac tumor: a case report and review of the literature. Surg Neurol 1997;48:368–73CrossRefGoogle Scholar
12 Van Thong, H, Rao, VM, Mikaelian, DO. CT of adenomas of the middle ear and mastoid cavity. Neuroradiology 1996;20:219–20Google Scholar
13 Murphy, BA, Geisinger, KR, Bergman, S. Cytology of endolymphatic sac tumour. Mod Pathol 2001;14:920–4Google Scholar
14 Torske, KR, Lester, MS, Thompson, LDR. Adenoma versus carcinoid tumour of the middle ear. Mod Pathol 2002;15:543–55CrossRefGoogle ScholarPubMed
15 Ramsey, MJ, Nadol, J, Pilch, BZ, McKenna, MJ. Carcinoid tumour of the middle ear. Laryngoscope 2005;115:1660–6CrossRefGoogle ScholarPubMed
16 Lo, WW, Daniels, DL, Chakeres, DW, Linthicum, FH, Ulmer, JL, Mark, LP et al. The endolymphatic duct and sac. Am J Neuroradiol 1997;18:881–7Google Scholar