MIDDLE EAR ADENOMA WITH AN ATYPICAL CLINICAL PRESENTATION

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 Case Studies

Keyword:

Middle ear adenoma, Neurendocrine adenoma, middle ear, tumor, diagnosis, treatment, prognosis


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.

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