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Metachronous inflammatory myofibroblastic tumour in the temporal bone: case report

Published online by Cambridge University Press:  04 February 2009

B S Goh*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
S P Tan
Affiliation:
Department of Radiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
S Husain
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
I M Rose
Affiliation:
Department of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
L Saim
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
*
Address for correspondence: Dr Bee See Goh, Dept of Otorhinolaryngology – Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Fax: 603 91737840 E-mail: irenegbs@yahoo.com

Abstract

Objective:

We report an extremely rare case of metachronous inflammatory myofibroblastic tumour in the temporal bone.

Method:

Case report and review of the world literature on metachronous inflammatory myofibroblastic tumour.

Results:

Inflammatory myofibroblastic tumour in the temporal bone is rare, and metachronous inflammatory myofibroblastic tumour in the temporal bone has never been reported in the English medical literature. We report a case of inflammatory myofibroblastic tumour in the right temporal bone in a 27-year-old woman presenting with right-sided otalgia and progressive hearing loss. A metachronous lesion was discovered in the left temporal bone one year later. The patient underwent surgical excision of the tumour via canal wall down mastoidectomy for both lesions. Long term steroids were prescribed after both surgical procedures. At follow up three years after the last procedure, the patient remained free of disease.

Conclusion:

To the best of our knowledge, this is the first reported case of metachronous inflammatory myofibroblastic tumour in the temporal bone.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2009

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Footnotes

Presented as a poster at the 12th Association of Southeast Asian Nations Otorhinolaryngology Head and Neck Congress, 22–24 August 2007, Hochiminh City, Vietnam.

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