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Gey A, Plontke SK, Kösling S, Bethmann D, Regul L, Wittlinger J. [Rare primary site of oncologic disease]. HNO 2023; 71:328-330. [PMID: 36805289 DOI: 10.1007/s00106-023-01275-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/16/2023] [Indexed: 02/21/2023]
Affiliation(s)
- A Gey
- Universitätsklinik und Poliklinik für Hals- Nasen- Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
| | - S K Plontke
- Universitätsklinik und Poliklinik für Hals- Nasen- Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland
| | - S Kösling
- Universitätsklinik und Poliklinik für Radiologie, Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - D Bethmann
- Institut für Pathologie, Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - L Regul
- Universitätsklinik und Poliklinik für Innere Medizin IV (Hämatologie und Onkologie), Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland
| | - J Wittlinger
- Universitätsklinik und Poliklinik für Hals- Nasen- Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Halle, Martin-Luther-Universität Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland
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Kaoutar C, Ahmedou AB, youssef O, Sami R, Abada R, Mohamed R, Mohamed M. Primary Non-Hodgkin Lymphoma of the temporal bone: A rare case report. Ann Med Surg (Lond) 2021; 64:102205. [PMID: 33815785 PMCID: PMC8010394 DOI: 10.1016/j.amsu.2021.102205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 02/28/2021] [Accepted: 03/01/2021] [Indexed: 11/21/2022] Open
Abstract
INTRODUCTION Primary lymphoma of the temporal bone is extremely rare, difficult to diagnose and to manage. It is essential that the clinician keeps in mind the possibility of this pathology as a differential diagnosis with the infections resistant to the usual treatment. CASE REPORT We report a rare case of a diffuse large B-cell lymphoma in a 70-year-old- woman, with history of diabetes. The pathological study was in favor of a Non-Hodgkin Lymphoma of the Temporal Bone. DISCUSSION Lymphomas defined as malignant monoclonal proliferation of lymphoid cells, are not uncommon in the head and neck region. Literature presents with few cases. CONCLUSION The aim of this article is to report a rare case of a diffuse large B-cell lymphoma with primary mastoid and external auditory canal infiltration without systemic involvement initially presented as a benign ear infection.
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Affiliation(s)
- Chaker Kaoutar
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Ahmed Brahim Ahmedou
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Oukessou youssef
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Rouadi Sami
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Redallah Abada
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Roubal Mohamed
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
| | - Mahtar Mohamed
- ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco
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Non-Hodgkin's Lymphoma of the Middle Ear Presenting as Mastoiditis. Case Rep Otolaryngol 2018; 2018:7639784. [PMID: 30416834 PMCID: PMC6207856 DOI: 10.1155/2018/7639784] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2018] [Accepted: 10/01/2018] [Indexed: 11/18/2022] Open
Abstract
Lymphoma originating from the middle ear is rare. The diagnosis of lymphoma as with other cancers of the temporal bone is often made late, and this has a negative implication on the treatment and prognosis of the condition. The delay of diagnosis is mainly due to the similar presentation shared with other benign conditions of the middle ear. We present a case of a 62-year-old man who was treated as a case of chronic otitis media for a period of time before presenting with advanced symptoms; a final diagnosis of lymphoma of the middle ear was given. Other similar cases in the literature are discussed and reviewed. Severe and persistent symptoms of the middle ear should raise red flags and warrant detailed investigations.
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Kim CH, Lee HS, Kim SY, Shin JE. Unusual Tumors Obstructing the External Auditory Canal: Report of Two Cases. J Audiol Otol 2018; 23:59-62. [PMID: 30016857 PMCID: PMC6348312 DOI: 10.7874/jao.2018.00045] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 05/02/2018] [Indexed: 11/22/2022] Open
Abstract
Primary tumors arising from the external auditory canal (EAC) are rare. We describe two cases of mass lesions within the EAC causing slowly progressive hearing loss without otorrhea or otalgia. Otoendoscopic examination demonstrated total obstruction of the EAC, and pure tone audiometry revealed conductive hearing loss. Based on the findings of the histopathologic examination, one patient was diagnosed with venous hemangioma that was treated using surgical resection, and the other patient was diagnosed with diffuse large B-cell lymphoma (DLBCL) that was treated using external-beam radiation therapy. Although primary tumors in the EAC are rare, both benign tumors such as venous hemangiomas and malignant lesions such as DLBCL should be considered as possible differential diagnoses of mass lesions in the EAC.
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Affiliation(s)
- Chang-Hee Kim
- Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
| | - Hye Seung Lee
- Department of Pathology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
| | - Sung-Yong Kim
- Department of Hemato-Oncology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
| | - Jung Eun Shin
- Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
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Bilateral Non-Hodgkin's Lymphoma of the Temporal Bone: A Rare and Unusual Presentation. Case Rep Otolaryngol 2016; 2016:2641876. [PMID: 28116198 PMCID: PMC5220405 DOI: 10.1155/2016/2641876] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2016] [Accepted: 12/07/2016] [Indexed: 12/02/2022] Open
Abstract
Primary lymphoma of the temporal bone is an unusual finding in clinical practice and bilateral affection is even more rare. To the best of our knowledge, there are no reports of bilateral primary temporal bone lymphoma without middle ear involvement in the English medical literature so far. We report, for the first time, a case of primary lymphoma involving both temporal bones which presented with left-sided infranuclear facial palsy. A combination of contrast enhanced magnetic resonance imaging (MRI) and high resolution computed tomography (HRCT) was used to characterize and to map the extent of the lesion, as well as to identify the exact site of facial nerve affection. An excision biopsy and immunohistochemistry revealed diffuse large B-cell non-Hodgkin's lymphoma (DLBCL). Whole body fluorodeoxyglucose (FDG) positron emission tomography-computed tomography study (PET-CT) was performed to stage the disease. The patient was treated with chemotherapy and radiation therapy and is now on regular follow-up. The patient is alive and asymptomatic without disease progression for the last twenty months after initial diagnosis.
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Siddiahgari SR, Yerukula P, Lingappa L, Moodahadu LS. Rare clinical presentation of diffuse large B-cell lymphoma as otitis media and facial palsy. J Pediatr Neurosci 2016; 11:58-60. [PMID: 27195036 PMCID: PMC4862291 DOI: 10.4103/1817-1745.181252] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Extra nodal presentation of Non Hodgkins Lymphoma (NHL) is a rare entity, and data available about the NHL that primarily involves of middle ear and mastoid is limited. We report a case of diffuse large B cell lymphoma (DLBCL), in a 2 year 8 month old boy, who developed otalgia and facial palsy. Computed tomography revealed a mass in the left mastoid. Mastoid exploration and histopathological examination revealed DLBCL. This case highlights the importance of considering malignant lymphoma as one of the differential diagnosis in persistent otitis media and/facial palsy.
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Affiliation(s)
- Sirisha Rani Siddiahgari
- Department of Pediatric Hematooncology, Rainbow Children's Tertiary Care Centre, Hyderabad, Telangana, India
| | - Pallavi Yerukula
- Department of Pediatrics, Rainbow Children's Tertiary Care Centre, Hyderabad, Telangana, India
| | - Lokesh Lingappa
- Department of Pediatric Neurology, Rainbow Children's Tertiary Care Centre, Hyderabad, Telangana, India
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O'Connor L, Croxson G, McCluskey P, Halmagyi GM. A 43-year-old woman presenting with subacute, bilateral, sequential facial nerve palsies, then developing pseudotumour cerebri. BMJ Case Rep 2015; 2015:bcr-2015-211399. [PMID: 26604227 DOI: 10.1136/bcr-2015-211399] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
A patient presented elsewhere with what appeared to be a simple, unilateral, chronic suppurative otitis media and then developed an ipsilateral facial palsy. She soon developed the same problem on the other side. At the time, a brain MRI had been ordered but the clinician did not review it with a radiologist. The surgical specimens were not sent for histopathology. When transferred to our institution 3 months later, the patient had severe bilateral papilloedema due to intracranial hypertension due to missed cerebral venous sinus thrombosis. Further surgery revealed that the pathology in the temporal bone was B-cell lymphoma, which, fortunately, responded to chemoradiotherapy. There was good resolution of the facial palsies, but the patient has severe permanent visual loss due to optic atrophy.
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Affiliation(s)
- Laura O'Connor
- Department of ENT, RPA Hospital, Sydney, New South Wales, Australia
| | - Glen Croxson
- Department of ENT, RPA Hospital, Sydney, New South Wales, Australia
| | - Peter McCluskey
- Department of Ophthalmology, RPA Hospital, Sydney, New South Wales, Australia Sydney Medical School, University of Sydney, New South Wales, Australia
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A Case of Primary Non-Hodgkin's Lymphoma of the External Auditory Canal. Case Rep Otolaryngol 2013; 2013:138397. [PMID: 23984144 PMCID: PMC3747615 DOI: 10.1155/2013/138397] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2013] [Accepted: 07/08/2013] [Indexed: 11/17/2022] Open
Abstract
Lymphomas represent the second most frequent malignant tumor (incidence 2.5%) in the head and neck region. Non-Hodgkin lymphomas (NHLs) present with cervical lymph node involvement, but in 40% extranodal site could be primary involved: nasopharynx, the lacrimal sac, the temporal bone, or the others areas. NHLs of the ear are rarely reported. In this report, we described a patient with primary NHL of the external ear canal who was successfully treated with surgical excision and chemotherapy.
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Reddy U, Bewick J, Good C, Chevassut T, Das-Purkayastha PK. Diffuse large B-cell lymphoma: an unusual cause of severe otalgia and facial palsy. BMJ Case Rep 2012; 2012:bcr.01.2012.5572. [PMID: 22707677 DOI: 10.1136/bcr.01.2012.5572] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
An elderly woman, two months after chemotherapy for diffuse large B-cell lymphoma, presented with left-sided otalgia, discharge and facial nerve palsy. MRI showed an active left mastoid infection with an ear canal lesion, likely to be a cholesteatoma. However, a biopsy of the mass showed recurrent high-grade lymphoma. Following diagnosis, the patient opted for palliative care within the community and consequently passed away a few weeks later.
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Affiliation(s)
- Udaya Reddy
- Department of Otolaryngology, Brighton and Sussex University Hospitals, Brighton, UK
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Jiang ZY, Saadia-Redleaf MI. Primary lymphoma of the temporal bone presenting as XIIth cranial nerve weakness. EAR, NOSE & THROAT JOURNAL 2011; 90:125-7. [PMID: 21412743 DOI: 10.1177/014556131109000311] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Primary lymphoma of the temporal bone is an extremely rare finding in clinical practice. Although it is treated as a type of non-Hodgkin lymphoma, the absence of systemic signs and symptoms makes detection dependent on the tumor's local mass effect. In this article, we report a case of temporal bone lymphoma that caused XIIth nerve palsy. We also discuss the clinical manifestations of temporal bone lymphoma and the importance of imaging the head and neck when any idiopathic cranial nerve palsy develops.
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Affiliation(s)
- Zi Yang Jiang
- Department of Otolaryngology, School of Medicine, University of Illinois at Chicago, 1885 W. Taylor St., Chicago, IL 60612, USA
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Stankovic KM, Juliano AF, Hasserjian RP. Case records of the Massachusetts General Hospital. Case 36-2010. A 50-year-old woman with pain and loss of hearing in the left ear. N Engl J Med 2010; 363:2146-56. [PMID: 21105797 DOI: 10.1056/nejmcpc1000967] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Scuotto A, Rotondo M, Conforti R, Nastro A, Natale M, D’Avanzo R, Cirillo S. Primary lymphoma of the skull base. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/j.ejrex.2008.04.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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