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Vanishing tumour of the internal auditory meatus

Published online by Cambridge University Press:  12 August 2008

A Jain*
Affiliation:
Radiology Department, Ayr Hospital, Scotland, UK
M Ablett
Affiliation:
Radiology Department, Ayr Hospital, Scotland, UK
P Wardrop
Affiliation:
ENT Department, Ayr Hospital, Scotland, UK
*
Address for correspondence: Dr Abhishek Jain, 18 Rousay Wynd, Kilmarnock KA3 2GP, Scotland, UK E-mail: abhii21@yahoo.com

Abstract

Objectives:

We report a very rare case of prostatic metastasis in the internal auditory meatus, which disappeared with treatment.

Case report:

An elderly man presented with a history of hearing loss, dizzy spells and, more recently, facial palsy. He also complained simultaneously of urological symptoms, which on investigation revealed advanced, metastatic prostate cancer. Radiological investigation, in the form of magnetic resonance imaging, revealed an internal auditory meatus mass which resembled an acoustic neuroma. The patient was treated with hormone injections.

Tumours of the internal auditory meatus and cerebellopontine angle are mostly primary. Rarely, metastatic deposits have been described in this region, from squamous cell carcinoma, malignant melanoma, malignant parotid oncocytoma, renal carcinoma, and lung and thyroid primaries.

Conclusion:

To our knowledge, this is a very rare report in the world literature of prostatic metastasis to the internal auditory meatus. We discuss the common presenting features, investigations and treatment options for metastatic prostatic tumours of the internal auditory meatus and cerebellopontine angle.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

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