Treatment of a local recurrence of a carcinoid tumor of the middle ear by extended subtotal petrosectomy

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
B KnererH Swoboda

Abstract

A recurrence of a primary carcinoid tumor of the middle ear 15 years after radical tympanomastoidectomy is reported. An extended subtotal petrosectomy using a craniocervical approach with temporary infracondylar mandibulotomy was performed, since imaging studies demonstrated an extensive tumor with a close relationship to the tegmen tympani, facial nerve, and ascending and horizontal portions of the carotid canal. The tumor was metabolically inactive. Histopathological examination showed a solid, trabecular tumor that was positive for pancytokeratin Lu5, neuron-specific enolase, pancreatic intestinal polypeptide and glucagon. Neuroendocrine-granules were demonstrable under electron microscopy. This case is reported to show that primary middle-ear carcinoid tumors can recur years after radical tympanomastoidectomy.

Citations

Jul 29, 2009·HNO·E RiehC Offergeld
Jul 4, 2009·Journal of Neuroradiology. Journal De Neuroradiologie·G BierryF Veillon
Aug 30, 2008·American Journal of Otolaryngology·Murat SahanKadir Cağdaş Kazikdasş
Jan 7, 2005·American Journal of Otolaryngology·Kai-Chieh ChanShiu-Feng Huang
Jul 20, 2016·Case Reports in Otolaryngology·Zubair HasanMelville da Cruz
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Sep 1, 2021·Journal of Neuroendocrinology·Gowri M RatnayakeAshley B Grossman

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