Record Details     « New Search       Brief Record Full Record MARC Record     Bibliographic Data Control Number 407915 Date and Time of Latest Transaction 20201212061610.AM General Information 201212s |||||||||b ||00||| Cataloging Source DOST-PCHRD Main Entry - Personal Name Goh, Bee See   Young, Doh Jeing   Nasir, Abd Majid Md Title Statement Middle ear carcinoma masquerading as an aural polyp Physical Description 17-19 Summary, Etc. OBJECTIVE: To present a case of middle ear carcinoma masquerading as an aural polyp and describe our experience with the clinical presentation, management and outcome of an elderly patient with this pathology. METHODS:Design: Case ReportSetting: Tertiary Public Hospital Patient: OneRESULTS: A 63-year-old female presented with an aural polyp and preceding symptoms of inner ear disturbances followed by otorrhea and otalgia. CT scans revealed an erosive lesion occupying the entire middle ear cleft, external ear canal and mastoid cavity with involvement of inner structures. A repeat biopsy subsequently revealed malignancy leading to a diagnosis of middle ear carcinoma. The patient was offered surgical treatment but opted for radiotherapy and subsequently defaulted follow-up.CONCLUSION: Middle ear carcinoma is rare and can masquerade as a benign aural polyp. Symptoms of severe otalgia and inner ear disturbances are indicators of possible malignancy, as are recent-onset symptoms of otitis media developing over a relatively short course later in life. A high index of suspicion is needed to avoid late diagnosis. Repeat deeper aural tissue biopsy is needed to exclude malignancy. Computed tomography imaging is indispensable in delineating tumor extent and aids in tumor staging as well as prognostication. Surgical resection with clear tumor margins, followed by postoperative radiotherapy, is the preferred choice of treatment. Sole radiotherapy is reserved for tumors of small volume as well as in cases where surgery is not feasible Subject Added Entry - Topical Term Ear, Middle   Carcinoma-diagnosis,radiotherapy   Treatment Outcome   polyps-diagnosis   Ear   Temporal Bone   earache   ear diseases   Tomography Scanners, X-Ray Computed   Biopsy   General Surgery   Radiotherapy   Otitis Media   63 years old   temporal bone carcinoma   middle ear carcinoma   clinical presentation   surgical treatment   surgical management   benign aural polyp   otalgia   otorrhea   Ear, Middle   Carcinoma-diagnosis,radiotherapy   Treatment Outcome   polyps-diagnosis   Ear   Temporal Bone   earache   ear diseases   Tomography Scanners, X-Ray Computed   Biopsy   General Surgery   Radiotherapy   Otitis Media           Physical Location           Digital Copy Not Available          Add to Book Cart  |   Download MARC