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1 results

  • Melanoma of the middle ear: initial presentation, Fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography imaging and follow up

  • M W Huellner, M Cousin, T Linder, J D Soyka, C Bussmann, L Eberle, K Strobel
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 5 / May 2011
    Published online by Cambridge University Press:
    27 January 2011, pp. 536-539
    Print publication:
    May 2011
  • Background:

    We present a rare case of primary mucosal melanoma of the middle ear imaged with 18F-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (FDG-PET/CT).

    Method:

    Clinical, radiological, intra-operative and histological findings are discussed.

    Results:

    An 88-year-old woman presented with intermittent otorrhoea of the left ear for several months. Otoscopy revealed a livid protrusion of the tympanic membrane. Melanoma was not suspected initially, but was established on transmembranous biopsy. Pre-operative 18F-fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography revealed a mass lesion in the left tympanic cavity with high fluoro-deoxyglucose uptake, as well as an ipsilateral intraparotid lymph node metastasis. The patient underwent surgical treatment. The diagnosis of melanoma was confirmed histologically.

    Conclusion:

    In this rare case, clinical, radiological and surgical findings led to the diagnosis of a primary mucosal melanoma of the middle ear.