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Daikhes NA, Diab KMA, Pashchinina OA, Mikhalevich AE, Umarov PU, Panina OS. [Simultaneous occurrence of facial neurinoma in internal auditory canal and middle ear paraganglioma in patient. Unusual combination and difficult surgical task]. Vestn Otorinolaringol 2024; 89:69-76. [PMID: 39104276 DOI: 10.17116/otorino20248903169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/07/2024]
Abstract
CLINICAL CASE The 59-year-old patient complained of hearing loss on the left, ear murmur for a long time, periodic pain and discomfort in the left ear, dizziness for 6 months. She was found to have concurrent vestibular schwannoma in the internal auditory canal and temporal bone paraganglioma. Both tumors were removed in one operation. The schwannoma was removed by translabirinth access due to preoperative deafness, while the glomus tumor was removed during this access. Postoperative biopsy showed the presence of two unrelated diseases: paraganglioma (ICD-0 code 8690/3) and schwannoma (ICD-0 code 9560/0).
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Affiliation(s)
- N A Daikhes
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - Kh M-A Diab
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
- Pirogov Russian National Research Medical University, Moscow, Russia
| | - O A Pashchinina
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
| | - A E Mikhalevich
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
| | - P U Umarov
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
| | - O S Panina
- National Medical Research Center for Otorhinolaryngology, Moscow, Russia
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Amoodi H, Al-Domaidat D, Danish A, Alshaikh Hasan R. Giant Cell Tumor of the Temporal Bone and Skull Base. J Craniofac Surg 2023; 34:e628-e630. [PMID: 37236622 DOI: 10.1097/scs.0000000000009432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 04/10/2023] [Indexed: 05/28/2023] Open
Abstract
Giant cell tumor (GCT) is a benign tumor that originates from undifferentiated mesenchymal cells of the bone marrow. The craniums as well as temporal bone are extremely rare locations for GCTs. Clinical, radiological, and anatomical diagnosis of this locally aggressive disease poses a major challenge in clinical practice. In this article, we present a clinical study for a 35-year-old female who was found to have left-sided temporal bone GCT with extension to middle cranial fossa and temporomandibular joint (TMJ) with its clinical features and management.
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Affiliation(s)
- Hosam Amoodi
- Otolaryngology Department, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia
- Department of Surgery, Jeddah University, Jeddah, Saudi Arabia
| | - Derar Al-Domaidat
- Otolaryngology Department, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia
| | | | - Ro'a Alshaikh Hasan
- Internal Medicine Department, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia
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Pähler vor der Holte A, Welkoborsky´ H. Case report: Langerhans cell histiocytosis of the temporal bone in children: Challenging diagnosis of a rare disease with some pitfalls. Clin Case Rep 2022; 10:e6057. [PMID: 36254150 PMCID: PMC9556999 DOI: 10.1002/ccr3.6057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 03/12/2022] [Accepted: 05/28/2022] [Indexed: 11/11/2022] Open
Abstract
A 4‐year‐old girl was admitted to hospital with disturbance of balance. After being questioned, parents remembered an otitis with effusion 3 months earlier. CT‐scans revealed destruction of both temporal bones. Initial biopsy showed granulomatous, necrotic inflammation, which led to comprehensive differential diagnoses. A second tissue sample confirmed Langerhans cell histiocytosis.
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Affiliation(s)
- Anja Pähler vor der Holte
- Department of Otorhinolaryngology, Head and Neck SurgeryNordstadt ClinicAcademic HospitalHanoverGermany
| | - Hans‐Jürgen Welkoborsky´
- Department of Otorhinolaryngology, Head and Neck SurgeryNordstadt ClinicAcademic HospitalHanoverGermany
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Bocanegra-Becerra JE, Showing MGP, Tanta LAH. Surgical management of giant cell tumor invading the occipital bone: A case report and literature review. Surg Neurol Int 2022; 13:351. [PMID: 36128092 PMCID: PMC9479658 DOI: 10.25259/sni_382_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2022] [Accepted: 07/23/2022] [Indexed: 11/04/2022] Open
Abstract
Background:
Giant cell tumor of bone (GCTB) rarely originates in the skull, particularly in the occipital bone. Although benign, it can severely destroy the surrounding tissue and undergo an unpredictable clinical course. We report the successful resection of a GCTB invading the occipital bone in a Hispanic adult woman and present a comprehensive review of the literature on this rare pathology by focusing on the occipital area.
Case Description:
A 40-year-old Hispanic woman presented with a 3-month history of neck pain and a bulging lesion on the retromastoid area. Brain magnetic resonance imaging (MRI) revealed an extradural, expansive, and contrast-enhancing lesion in the right occipital bone with multiple thin septa and evidence of bleeding. The patient underwent an uneventful gross total resection (GTR) of the lesion. The histopathological examination findings included numerous scattered osteoclast-type giant multinucleated cells. At a 10-month follow-up, the patient has not developed any neurological deficits, impairment of life functioning, or signs of recurrence in MRI.
Conclusion:
GCTB rarely originates in the skull, being the occipital bone the most infrequent site of presentation. When feasible, total surgical resection effectively reduces the risk of recurrence. Nonetheless, radiation and adjuvant therapies have been employed when GTR could not be achieved. A close follow-up with a brain MRI is advised to control recurrence.
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Affiliation(s)
| | | | - Luis A. Huamán Tanta
- Department of Neurosurgery, Instituto de Neurociencias de Lima,
- Clínica San Felipe, Lima, Perú
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Sepulveda I, Alzerreca J, Villalobos P, Ulloa JP. Giant Cell Tumor of the Temporal Bone With Skull Base and Middle Ear Extension. J Med Cases 2021; 12:149-151. [PMID: 34434449 PMCID: PMC8383659 DOI: 10.14740/jmc3627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 12/31/2020] [Indexed: 12/14/2022] Open
Abstract
We report on a patient who presented to the ear, nose, and throat (ENT) clinic with an 8-month-old left non-pulsatile tinnitus. Imaging studies, Neck computed tomography (CT) and magnetic resonance imaging (MRI) revealed soft tissue mass in the left middle ear with invasion to the middle cranial fossa and external auditory canal.
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Affiliation(s)
- Ilson Sepulveda
- Finis Terrae University School of Dentistry, Radiology Department ENT-Head and Neck Surgery, Maxilofacial and Nuclear Medicine Services, General Hospital of Concepcion, San Martin Av. 1436, Concepcion, Chile
| | - Jose Alzerreca
- ENT Department, Clinic of De los Andes University, Santiago, Chile
| | - Pamela Villalobos
- Pathology Department, University of Concepcion School of Medicine, Concepcion, Chile
| | - J Patricio Ulloa
- Department ENT-Head and Neck Surgery, General Hospital of Concepcion, University of Concepcion School of Medicine, Concepcion, Chile
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Yaprak Bayrak B, Özcan E, Vural Ç, Emengen A, Çabuk B, Ceylan S. A single-center experience with giant cell tumors of sphenoid bone and clivus. TUMORI JOURNAL 2021; 107:NP94-NP100. [PMID: 34374310 DOI: 10.1177/03008916211024357] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To present pathologic, clinical, and treatment findings for giant cell tumors (GCTs) of sphenoid bone and clivus. METHODS We describe the optimal treatment algorithm in patients with a histopathologic diagnosis of bone GCT by presenting the effects of denosumab treatment in both pediatric and adult patients with GCT undergoing endoscopic transnasal surgery. Clinicopathologic correlation is crucial for the differential diagnosis of GCT and the choice of treatment modality. CONCLUSION GCT of bone is a local aggressive tumor that accounts for about 3%-7% of all bone tumors. GCTs located in the cranium are extremely uncommon neoplasms. There are no defined guidelines for the treatment of GCTs in skull base. Following surgical resection of the tumor, the addition of denosumab treatments to radiotherapy has a significant role in preventing the recurrence of GCT and in promoting regression of residual tumor size.
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Affiliation(s)
- Büşra Yaprak Bayrak
- Department of Pathology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Emre Özcan
- Department of Pathology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Çiğdem Vural
- Department of Pathology, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Atakan Emengen
- Department of Neurosurgery, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Burak Çabuk
- Department of Neurosurgery, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
| | - Savaş Ceylan
- Department of Neurosurgery, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey
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Kumar P, Gupta P, Sharma N, Kamal Ahuja C, Rajwanshi A. Cytology of a temporal swelling in a young adult with unilateral conductive hearing loss. Cytopathology 2020; 32:274-277. [PMID: 33040405 DOI: 10.1111/cyt.12923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 10/01/2020] [Accepted: 10/04/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Pankaj Kumar
- Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Parikshaa Gupta
- Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Neeraj Sharma
- Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Chirag Kamal Ahuja
- Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Arvind Rajwanshi
- Department of Cytology and Gynecological Pathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Wang JG, Liu J, He B, Gao L, Zhang L, Liu J. Diffuse Tenosynovial Giant Cell Tumor Around the Temporomandibular Joint: An Entity With Special Radiologic and Pathologic Features. J Oral Maxillofac Surg 2019; 77:1022.e1-1022.e39. [PMID: 30796908 DOI: 10.1016/j.joms.2019.01.025] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Revised: 01/09/2019] [Accepted: 01/09/2019] [Indexed: 12/25/2022]
Abstract
PURPOSE Diffuse tenosynovial giant cell tumor (TGCT) of the temporomandibular joint (TMJ) is rare. The aim of the present study was to summarize the clinical, radiologic, and pathologic features of this tumor. MATERIALS AND METHODS Nine cases of TGCT in the TMJ region were examined. All available radiologic and pathologic documents were carefully reviewed. These cases were grouped into 3 types according to the radiologic features: bone-centered type, intraosseous type, and soft tissue type. Cases reported in the literature were reviewed to better summarize the clinical characteristics. RESULTS TGCTs in the TMJ region showed some special radiologic and pathologic features. Radiologically, the lesion could be centered in the craniofacial bone or centered in the surrounding soft tissue. Four cases were categorized as the bone-centered type, 1 was categorized as the intraosseous type, and 4 were categorized as the soft tissue type. Pathologically, epithelioid mononuclear cells with abundant eosinophilic cytoplasm and eccentric nuclei were observed in all cases. Chondroid metaplasia was noted in 8 cases. Some areas were similar to giant cell reparative granuloma and chondroblastoma. All patients who underwent complete tumor resection showed no evidence of recurrence at follow-up. Of the 93 reported cases, only 5 developed postoperative recurrence and distant metastasis. CONCLUSION TGCTs of the TMJ region share similar radiologic and pathologic features as other tumors, which indicates the TGCT might be a special entity within a spectrum of diseases.
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Affiliation(s)
- Ji-Gang Wang
- Associate Chief Physician and Postdoctoral Research Fellow, Department of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Jingwei Liu
- Resident, Department of Pediatric Surgery, Qilu Hospital, Shandong University, Jinan, China
| | - Bing He
- Resident, Department of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Ling Gao
- Attending Doctor, Department of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Lijuan Zhang
- Professor, Medical Systems Biological Center for Complex Diseases, The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Jihua Liu
- Professor, Department of Radiology, The Affiliated Hospital of Qingdao University, Qingdao, China.
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