An aggressive papillary tumor of middle ear: A case report

Özet

Aggressive papillary tumors of the middle ear constitute a small percent of adenomatous middle ear tumors. Patients usually presentwith long-lasting tinnitus, hearing loss, and vertigo and occasionally facial paralysis. Computed tomography findings predominantlysuggest bone invasion. Thus, it is commonly misdiagnosed with chronic otitis media with a cholesteatoma. A 72-year-old manpresented with chronic ear pain and ear drainage. The patient had a 63 decibels (dB) mixed-type hearing loss and a mass lesion atthe temporal bone high resolution computed tomography. Explorative tympanotomy revealed a tumor with thick mucoid secretionand no bone erosion, for which an incisional biopsy revealed an adenoma. Radical modified mastoidectomy was performed andthe definite pathology result was compatible with an aggressive papillary tumor. The patient was free of disease at six months offollow-up.