Inflammatory pseudotumor (plasma cell granuloma) of the temporal bone

Ear, Nose, & Throat Journal
Dare V AjibadeRobert W Jyung

Abstract

We report the case of a 41-year-old man who presented with progressive right-sided ear pressure, otalgia, hearing loss, tinnitus, and intermittent otorrhea. Computed tomography and magnetic resonance imaging detected a soft-tissue mass in the right mastoid with intracranial invasion and erosion through the tegmen tympani and mastoid cortex. Histopathologic examination was consistent with an inflammatory pseudotumor (plasma cell granuloma). These lesions rarely occur in the temporal bone. When they do, they are locally destructive and can erode bone and soft tissues. Aggressive surgery is recommended as a first-line treatment, with adjunctive steroid or radiotherapy reserved for residual or refractory disease. Our patient subsequently experienced multiple recurrences, and his treatment required all of these modalities. At the most recent follow-up, he was disease-free and doing well.

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Citations

Feb 21, 2013·Case Reports in Medicine·Huiqin TianGuangqian Xing
Jun 22, 2013·Journal of Medical Case Reports·Xiaoli ZhouGuangqian Xing
Jun 2, 2017·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Timothy E OrtlipRonna Hertzano
Mar 18, 2011·Ear, Nose, & Throat Journal·Ashwani SethiSonu Nigam
Apr 22, 2015·The Laryngoscope·Eleonora F SpinazziJean Anderson Eloy
Jul 15, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Jennifer C AlyonoC Eduardo Corrales
Jan 12, 2021·Case Reports in Dentistry·Archana P KantetiErnesto Martinez Duarte

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