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A Recurrent Right Ear Mass

A Recurrent Right Ear Mass Clinical Review & Education Clinical Problem Solving | PATHOLOGY Nathan C. Tu, AB; Stewart I. Adam, MD; Elias M. Michaelides, MD A B C D Figure. Axial computed tomographic images of the head showing (A) a soft-tissue mass within the right protympanum (arrowheads) and (B) air cell opacification and mastoid mucoperiosteal thickening and a dehiscent carotid artery. Histopathologic examination of the ear mass (hematoxylin-eosin; C, original magnification, ×4; D, original magnification, ×20). A man in his 70s with a history of a right middle ear lesion resected tumor encompassing portions of the incus, the tympanic mem- twice in the previous year at an outside institution was referred for brane, and the posterior middle ear was entirely excised. The sta- a recurrent right ear mass. He initially presented with progressive pes had been removed during a previous operation. bilateralhearingloss,moreprofoundintherightear,anddeniedotal- Histopathologicexaminationrevealedeosinophiliccuboidaland gia, otorrhea, tinnitus, vertigo, or feeling of fullness. He recalled a columnar cells forming tubules, along with solid, cribriform pat- distant history of military noise exposure but no other clinically sig- terns lining papillary fronds (Figure, C and D). Most cells had dark nificant otologic history. The physical examination revealed an ery- nuclei, with some showing stippled nuclear chromatin. Pleomor- http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Otolaryngology - Head & Neck Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6181
eISSN
2168-619X
DOI
10.1001/jamaoto.2013.6635
pmid
24503894
Publisher site
See Article on Publisher Site

Abstract

Clinical Review & Education Clinical Problem Solving | PATHOLOGY Nathan C. Tu, AB; Stewart I. Adam, MD; Elias M. Michaelides, MD A B C D Figure. Axial computed tomographic images of the head showing (A) a soft-tissue mass within the right protympanum (arrowheads) and (B) air cell opacification and mastoid mucoperiosteal thickening and a dehiscent carotid artery. Histopathologic examination of the ear mass (hematoxylin-eosin; C, original magnification, ×4; D, original magnification, ×20). A man in his 70s with a history of a right middle ear lesion resected tumor encompassing portions of the incus, the tympanic mem- twice in the previous year at an outside institution was referred for brane, and the posterior middle ear was entirely excised. The sta- a recurrent right ear mass. He initially presented with progressive pes had been removed during a previous operation. bilateralhearingloss,moreprofoundintherightear,anddeniedotal- Histopathologicexaminationrevealedeosinophiliccuboidaland gia, otorrhea, tinnitus, vertigo, or feeling of fullness. He recalled a columnar cells forming tubules, along with solid, cribriform pat- distant history of military noise exposure but no other clinically sig- terns lining papillary fronds (Figure, C and D). Most cells had dark nificant otologic history. The physical examination revealed an ery- nuclei, with some showing stippled nuclear chromatin. Pleomor-

Journal

JAMA Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Apr 1, 2014

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