2011, Number 4
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Otorrinolaringología 2011; 56 (4)
Endolymphatic sac adenocarcinoma: a rare case of petrosus tumor previously reported as ceruminous adenoma with intracranial extension
Velázquez RSL, Acosta MDR, García RV, Sánchez OFM, Cruz HJ
Language: Spanish
References: 12
Page: 199-204
PDF size: 462.77 Kb.
ABSTRACT
The endolymphatic sac tumors (ELST) are rare papillary tumors of the temporal bone that can be diagnosed as other middle ear tumors because their similar histology. The adenomatous tumors are benign lesions that arise from the epithelium of the middle ear with a destructive pattern, papillary adenocarcinomas are invasive tumors that induce bone destruction on petromastoid plate, and this is why its origin is presumed to be the endolymphatic region. Many temporal bone tumors can simulate an ELST, for example choroid plexus papilloma, papillary meningioma, ceruminous gland tumors, metastatic thyroid or renal cell carcinoma and paraganglioma. We report the case case of a 62 year-old patient with a middle and external ear tumor extended to posterior neck triangle and intracranial area, who underwent retrosigmoid approach and posterior craniotomy on May 2007. Ceruminous adenoma was reported. He had tumoral activity four times during the follow up with retrosigmoid resection on September 2007, June 2008, May 2009 and March 2010. Ceruminous adenoma was reported in all of them, but the latest with endolymphatic sac tumor. We present a case report and overview literature about endolymphatic sac tumors.
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