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Case 83 - Aggressive Papillary Tumor of the Ear

Published online by Cambridge University Press:  19 November 2019

By
Cecilia Taverna  and
Alessandro Franchi
Edited by
Alessandro Franchi
Alessandro Franchi
Affiliation:
Università degli Studi di Firenze, Italy
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Summary

A 48-year-old woman, treated with corticosteroid therapy for the past 3 years for chronic otitis, presented for the persistence of a sense of plugged right ear. Audiometric exams showed conductive hearing loss. On clinical examination, the right tympanic membrane appeared everted. Since after 3 years of various therapies for otitis media symptoms were unchanged, an explorative tympanotomy with endoauricolar access was performed. During the surgical procedure, a friable lesion was detected in the tympanic cavity, without any sign of erosion of the ossicles.

Type
Chapter
Information
Pearls and Pitfalls in Head and Neck Pathology , pp. 170 - 171
Publisher: Cambridge University Press
Print publication year: 2019

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References

Gaffey, MJ, Mills, SE, Fechner, RE, Intemann, SR, Wick, MR. Aggressive papillary middle-ear tumor: a clinicopathologic entity distinct from middle-ear adenoma. Am J Surg Pathol. 1988;12:790–797.CrossRefGoogle ScholarPubMed
Gaffey, MJ, Mills, SE, Boyd, JC. Aggressive papillary tumor of middle ear/temporal bone and adnexal papillary cystadenoma: manifestations of von Hippel-Lindau disease. Am J Surg Pathol. 1994;18:1254–1260.CrossRefGoogle ScholarPubMed
Bell, D, Gidley, P, Levine, N, Fuller, GN. Endolymphatic sac tumor (aggressive papillary tumor of middle ear and temporal bone): sine qua nonradiology-pathology and the University of Texas MD Anderson Cancer Center experience. Ann Diagn Pathol. 2011;15:117–123.CrossRefGoogle ScholarPubMed
Tysome, JR, Harcourt, J, Patel, MC, Sandison, A, Michaels, L. Aggressive papillary tumor of the middle ear: a true entity or an endolymphatic sac neoplasm? Ear Nose Throat J. 2008;87:378–393.CrossRefGoogle ScholarPubMed

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