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Shimanuki MN, Nishiyama T, Hosoya M, Wakabayashi T, Ozawa H, Oishi N. Imaging of Temporal Bone Mass Lesions: A Pictorial Review. Diagnostics (Basel) 2023; 13:2665. [PMID: 37627924 PMCID: PMC10453603 DOI: 10.3390/diagnostics13162665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 08/09/2023] [Accepted: 08/11/2023] [Indexed: 08/27/2023] Open
Abstract
Tumoral lesions of the temporal bone include benign or malignant tumors and congenital or inflammatory lesions. Temporal bone lesions are difficult to approach. Therefore, making a preoperative diagnosis and considering whether the lesions require treatment are necessary; if they require treatment, then the type of treatment requires consideration. These tumors cannot be observed directly and must be diagnosed based on symptoms and imaging findings. However, the differentiation of temporal bone lesions is difficult because they are rare and large in variety. In this pictorial review, we divided temporal bone lesions by location such as along the facial nerve, along the internal jugular vein, around the endolymphatic sac, in the internal auditory canal/cerebellopontine angle, petrous apex, middle ear, and mastoid, focusing on the imaging findings of temporal bone lesions. Then, we created a diagnostic flowchart that suggested that the systematic separation of imaging findings is useful for differentiation. Although it is necessary to make comprehensive judgments based on the clinical symptoms, patient background, and imaging findings to diagnose temporal bone mass lesions, capturing imaging features can be a useful differentiation method.
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Affiliation(s)
- Marie N Shimanuki
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Takanori Nishiyama
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Makoto Hosoya
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Takeshi Wakabayashi
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Hiroyuki Ozawa
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
| | - Naoki Oishi
- Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku, Tokyo 160-8582, Japan
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Mezmezian MB, Arakaki N, Fallaza Moya S, Solé H, Olvi L. Petroclival intravascular papillary endothelial hyperplasia with psammoma body-like structures. Neuropathology 2019; 40:268-274. [PMID: 31802551 DOI: 10.1111/neup.12629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2019] [Revised: 11/07/2019] [Accepted: 11/12/2019] [Indexed: 11/27/2022]
Abstract
Masson's tumor or intravascular papillary endothelial hyperplasia (IPEH) is considered a non-neoplastic lesion. It is probably an unusual exaggerated reorganization of a thrombus. IPEH may be present as a secondary lesion in hemangiomas. Symptomatic osseous hemangiomas are rare tumors. Few cases of clival and petrous bone hemangiomas have been described. None of them shows secondary IPEH. So far, there are only four reported cases of cranial bone IPEHs in the literature, two in the skull, one in the clivus and one in the petrous apex. The aim of this study is to report an additional case of osseous hemangioma with secondary IPEH of the petroclival region. We review the literature and describe the main clinical features of IPEHs and hemangiomas of the clivus and the petrous bone. Additionally, we report an unusual histological feature observed in our case of IPEH, the presence of psammoma body-like structures. This feature has been rarely mentioned previously in IPEH. We consider that IPEH should be included in the lesions that may present psammoma bodies to avoid misdiagnosing it as a tumor that commonly shows psammoma bodies, such as intraosseous meningioma or, less frequently, metastasis of thyroid or ovarian carcinoma.
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Affiliation(s)
| | - Naomi Arakaki
- Neuropathology Department, FLENI, Buenos Aires, Argentina
| | | | - Horacio Solé
- Unit of Neurosurgery, Hospital Pirovano, Buenos Aires, Argentina
| | - Liliana Olvi
- Laboratory of Orthopaedic Pathology, Buenos Aires, Argentina
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Lahlou G, Nguyen Y, Russo FY, Ferrary E, Sterkers O, Bernardeschi D. Geniculate Ganglion Tumors: Clinical Presentation and Surgical Results. Otolaryngol Head Neck Surg 2016; 155:850-855. [PMID: 27484229 DOI: 10.1177/0194599816661482] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Accepted: 07/07/2016] [Indexed: 11/15/2022]
Abstract
OBJECTIVE Facial nerve tumors are rare lesions mostly located in the geniculate ganglion. This study aims to compare those tumors limited to the geniculate ganglion in terms of clinical features and postoperative outcomes. STUDY DESIGN Case series with chart review. SETTINGS University tertiary reference center. SUBJECTS AND METHODS Medical charts were reviewed for 17 patients who had surgery for geniculate ganglion tumor removal (10 hemangiomas, 6 schwannomas, 1 meningioma). Hemangiomas and schwannomas were compared for preoperative facial nerve function, hearing, tumor size, and postoperative outcomes. RESULTS Facial palsy was observed in all cases. Regarding the preoperative facial nerve function, severe facial palsy (House-Brackmann grades V and VI) was present in 70% of cases for hemangiomas and for no case of schwannoma (P = .01), although hemangiomas were significantly smaller tumors (P = .01). Hearing loss was observed in 4 cases (23.5%) and was related to tumor volume (P < .0001). A complete excision was achieved in all cases, and a facial nerve graft was performed immediately after interruption in 16 patients (94%). Postoperative facial nerve function was improved or stabilized in 94% of cases. A preoperative House-Brackman grade VI was shown as a negative factor for postoperative facial nerve function. CONCLUSIONS Differences in clinical presentations could help in establishing the good therapeutic option depending on the tumor type. Surgery, when indicated, is safe and effective, and postoperative outcomes are not related to tumor type.
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Affiliation(s)
- Ghizlene Lahlou
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
| | - Yann Nguyen
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
| | - Francesca Yoshie Russo
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
| | - Evelyne Ferrary
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
| | - Olivier Sterkers
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France.,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
| | - Daniele Bernardeschi
- AP-HP, Pitie-Salpetriere Hospital, Otology, Auditory Implants and Skull Base Surgery Department, Paris, France .,Sorbonne Universités, UPMC Univ Paris 06, Paris, France.,INSERM UMR_S 1159, Mini-invasive and Robot-Based Surgical Rehabilitation of Hearing, France
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Fierek O, Laskawi R, Kunze E. Large Intraosseous Hemangioma of the Temporal Bone in a Child. Ann Otol Rhinol Laryngol 2016; 113:394-8. [PMID: 15174768 DOI: 10.1177/000348940411300510] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Hemangiomas of the temporal bone are extremely uncommon tumors, predominantly arising in the area of the geniculate ganglion and the internal auditory canal and affecting mainly middle-aged adults. We present a 6-year-old boy who had suffered from recurrent infections of the left ear associated with a slight conductive hearing loss, but without facial nerve dysfunction. Using high-resolution computed tomography and gadolinium-enhanced magnetic resonance imaging, we detected an unusually large 32 × 32 × 24-mm mass of the left temporal bone occupying the entire mastoid. Histopathologically, a capillary hemangioma was diagnosed. The tumor was removed surgically by a transmastoid approach. We present a thorough review of the literature, focusing on the clinical and radiologic features, as well as the pathogenesis of intratemporal vascular lesions.
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Affiliation(s)
- Oliver Fierek
- Department of Otorhinolaryngology-Head and Neck Surgery, Georg-August-Universität, Göttingen, Germany
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Opacification of the middle ear and mastoid: imaging findings and clues to differential diagnosis. Clin Radiol 2015; 70:e1-e13. [DOI: 10.1016/j.crad.2014.11.014] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 11/19/2014] [Accepted: 11/26/2014] [Indexed: 11/17/2022]
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Yang G, Li C, Chen X, Liu Y, Han D, Gao X, Kawamoto K, Zhao S. Large capillary hemangioma of the temporal bone with a dural tail sign: A case report. Oncol Lett 2014; 8:183-186. [PMID: 24959241 PMCID: PMC4063632 DOI: 10.3892/ol.2014.2143] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Accepted: 04/29/2014] [Indexed: 12/20/2022] Open
Abstract
The present study reports a rare case of large capillary hemangioma of the temporal bone with a dural tail sign. A 57-year-old female presented with pulsatile tinnitus and episodic vertigo associated with a ten-year history of an intermittent faint headache. Magnetic resonance imaging revealed a mass in the right petrous bone, which was hypointense on T1-weighted images and heterogeneously hyperintense on T2-weighted images, and showed a dural tail sign following gadolinium administration. Pre-operatively, this tumor was believed to be a meningioma. During surgery, the vascular tumor was removed by a modified pterional approach. A histopathological examination indicated that the tumor was a capillary hemangioma. Although intraosseous capillary hemangiomas are rare, they most frequently affect the temporal bone. Hemangiomas of the temporal bone may mimic other more common basal tumors. The diagnosis is most often made during surgical resection. The dural tail sign is not specific for meningioma, as it also occurs in other intracranial or extracranial tumors. The treatment of intratemporal hemangiomas is complete surgical excision, with radiotherapy used for unresectable lesions. To the best of our knowledge, the present study is the fourth case of intraosseous intracranial capillary hemangioma, but the largest intratemporal hemangioma to be reported in the literature to date.
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Affiliation(s)
- Guang Yang
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
| | - Chenguang Li
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
| | - Xin Chen
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
| | - Yaohua Liu
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
| | - Dayong Han
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
| | - Xin Gao
- Computer, Electrical and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, Saudi Arabia
| | - Keiji Kawamoto
- Department of Neurosurgery, Kansai Medical University, Osaka, Japan
| | - Shiguang Zhao
- Department of Neurosurgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, P.R. China ; Institute of Brain Science, Harbin Medical University, Harbin, Heilongjiang, P.R. China
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Sade B, Lee DK, Prayson RA, Hughes GB, Lee JH. Intraosseous cavernous angioma of the petrous bone. Skull Base 2011; 19:237-40. [PMID: 19881905 DOI: 10.1055/s-0028-1114294] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Intraosseous cavernous angioma (CA) of the petrous bone is rare and preoperative diagnosis can be challenging, especially when its epicenter is outside the internal auditory canal (IAC) or geniculate ganglion. METHODS A 45-year-old man presented to our clinic with right-sided hearing loss, tinnitus, and unsteadiness. Neuroimaging revealed a right posterior petrous mass. Aggressive subtotal resection with decompression of the IAC was achieved through a right suboccipital craniotomy. Histopathological findings were consistent with CA. CONCLUSION As was the case with this patient, we believe that CA should be included in the differential diagnosis of petrous region pathology with bony involvement. Surgery is warranted due to its expansive nature and to decompress the adjacent neural structures.
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Affiliation(s)
- Burak Sade
- Brain Tumor Institute, The Cleveland Clinic Foundation, Cleveland, Ohio
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Lemmerling MM, De Foer B, Verbist BM, VandeVyver V. Imaging of inflammatory and infectious diseases in the temporal bone. Neuroimaging Clin N Am 2009; 19:321-37. [PMID: 19733311 DOI: 10.1016/j.nic.2009.06.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Inflammatory and infectious diseases of the temporal bone are a major indication to perform high-resolution CT and MR imaging studies. Such studies allow one to evaluate the extent of the disease in the soft tissues and in the bony structures of the temporal bone. On these same imaging studies the possible extension of the infection to surrounding regions is visualized. In this article a segmental approach is used, focusing on four structures in the temporal bone: the external ear, the otomastoid and petrous apex, the inner ear, and the facial nerve. For each of the four sections imaging findings are described and illustrated, and if relevant a differential diagnostic approach is highlighted.
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Affiliation(s)
- Marc M Lemmerling
- Department of Radiology, AZ St.-Lucas Hospital, Groenebriel 1, 9000 Gent, Belgium.
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Kojima H, Yaguchi Y, Moriyama H. Middle ear hemangiona: a case report. Auris Nasus Larynx 2007; 35:255-9. [PMID: 17851004 DOI: 10.1016/j.anl.2007.04.010] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2006] [Revised: 03/02/2007] [Accepted: 04/13/2007] [Indexed: 11/25/2022]
Abstract
A middle ear hemangioma was detected in a 51-year-old man who suffered from fullness and hearing loss in the left ear. This case is presented with a review of the relevant literature. The mass was surgically resected for diagnostic and therapeutic reasons, and pathologic examination revealed a benign hemangioma. The CT, MRI, angiography, and light microscopy findings of the tumor are documented and compared with those a glomus tumor. The significance of this diagnosis is also discussed.
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Affiliation(s)
- Hiromi Kojima
- Department of Otorhinolaryngology, The Jikei University School of Medicine, 3-25-8 Nishishinbashi Minato-ku, 105-8461 Tokyo, Japan.
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Refass A, Bozorg Grayeli A, Bouccara D, Ismail M, Cyna-Gorse F, Cazals-Hatem D, Sterkers O. Atypical haemangioma of the internal auditory meatus: a case report. Eur Arch Otorhinolaryngol 2006; 263:627-31. [PMID: 16683120 DOI: 10.1007/s00405-006-0035-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2005] [Accepted: 11/29/2005] [Indexed: 11/30/2022]
Abstract
Haemangiomas involving the internal auditory meatus (IAM) are rare and can mimic other frequent lesions of the IAM such as schwannomas by their clinical and imaging aspects. The case of a patient with an atypical IAM haemangioma fluctuating in size is reported to highlight this diagnostic possibility. A 36-year-old female presented with a sudden and recurrent left sensorineural hearing loss (SNHL). Three consecutive MRIs were performed in a 10-month period of preoperative observation. They showed a fluctuation of the tumour signal and size. The surgical removal was performed via a translabyrinthine approach. Pathological findings were consistent with the diagnosis of a heamangioma. MRI and CT findings suggested the diagnosis of IAM heamangioma, but the rapid variation in size and signal was misleading. This phenomenon may be due to haemorrhage or oedema, and can be accompanied by a deterioration of the hearing function. Early surgical resection is the treatment of choice and allows to confirm the diagnosis.
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Affiliation(s)
- Afaf Refass
- Otolaryngology Department, Hôpital Beaujon, AP-HP, 100 Boulevard du Général Leclerc, 92118, Clichy, France
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Affiliation(s)
- R E Kania
- Department of Otorhinolaryngology-Head and Neck Surgery, Faculté Xavier Bichat, University Paris VII, Clichy, France
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Palacios E, Valvassori G. Temporal Bone Hemangioma as a Cause of Facial Paralysis. EAR, NOSE & THROAT JOURNAL 1999. [DOI: 10.1177/014556139907800205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Escada P, Capucho C, Silva JM, Ruah CB, Vital JP, Penha RS. Cavernous haemangioma of the facial nerve. J Laryngol Otol 1997; 111:858-61. [PMID: 9373554 DOI: 10.1017/s0022215100138812] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Facial nerve haemangiomas are probably the most frequent benign tumours involving the facial nerve in its intratemporal portion. Usually facial nerve dysfunction is present when these tumours are of extremely small size, the average tumour being less than 10 mm. We present a case of a 15 mm diameter cavernous haemangioma of the geniculate region, with histological findings of nerve infiltration, without facial nerve symptoms. The atypical clinical presentation justifies the report and subsequent literature review.
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Affiliation(s)
- P Escada
- Department of Otolaryngology, Egas Moniz Hospital, Lisbon, Portugal
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