Author's Name: |
Gabriel Liria Juares, Rafael da Costa Monsanto, Daniela Vieira Martins, Fabio T. M. Lorenzetti, Leticia H. S. Marques & Raquel Salomone |
Subject Area: |
Health Science |
Subject |
Medicine and Dentistry |
Section |
Research Paper |
Keyword:
Diagnosis, treatment, middle ear tumors, middle ear adenoma
Abstract
In this study, we aim to report the case of a patient who had a middle ear adenoma with an atypical presentation. The patient complained of a cyclic (monthly) bleeding in the right ear for the past 10 years, which occurred concomitantly with her menstruation period. She also had tinnitus, hearing loss, and sporadic otorrhea in the same ear. Tomography and magnetic resonance revealed a contrast-enhancing mass occupying the middle ear cleft, without bone erosion or invasion of adjacent structures. We decided to remove the tumor “en bloc”, after performing a canal wall-down mastoidectomy to better assess the limits of the lesion. Histopathologic evaluation confirmed the diagnosis of middle ear adenoma. The diagnosis, treatment options and prognosis of the middle ear adenoma are further discussed and critically reviewed.