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Endolymphatic sac tumour: case report and literature review

Published online by Cambridge University Press:  28 February 2013

J S Virk ,
P S Randhawa  and
S R Saeed
J S Virk*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
P S Randhawa
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University College London Hospitals NHS Trust, UK
S R Saeed
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University College London Hospitals NHS Trust, UK
*
Address for correspondence: Mr J S Virk, Department of Otolaryngology and Head and Neck Surgery, Charing Cross Hospital, Imperial College Healthcare, Fulham Palace Rd, London W6 8RF, UK Fax: + 44 (0)208 8693098 E-mail: j_v1rk@hotmail.com
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Abstract

Objective:

To increase awareness of the presentation, diagnostic difficulties and management of endolymphatic sac tumours.

Case reports:

A 79-year-old man with a 6-month history of unilateral hearing loss, tinnitus and vertigo, who was suspected to have an endolymphatic sac tumour on imaging, underwent successful transmastoid-translabyrinthine resection. A 53-year-old man with unilateral hearing loss and pulsatile tinnitus underwent subtotal resection of a suspected paraganglioma, which was identified histologically. Due to interval growth, gamma knife radiosurgery was performed followed by subtotal petrosectomy, at which juncture an endolymphatic sac tumour was reported.

Methods:

A review of the world literature was carried out using Medline, which identified less than 150 reported cases of endolymphatic sac tumour.

Conclusion:

Endolymphatic sac tumours are rare lesions of the petrous temporal bone. Although benign, they can be locally destructive. At present, there is no consensus regarding the management and long-term follow up of these tumours. Surgical resection is usually favoured, although treatment with radiotherapy and gamma knife surgery has also been reported.

Keywords

Endolymphatic SacParagangliomaAdenocarcinomaTemporal Bone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 408 - 410
Copyright
Copyright © JLO (1984) Limited 2013

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Footnotes

Oral presentation, Semon Club, Guy's and St Thomas' Hospital, 15 May 2012, London, UK.

References

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