Middle-ear carcinoid tumour metastasising to the parapharyngeal space and the parotid gland.
J Laryngol Otol
; 137(1): 112-116, 2023 Jan.
Article
in En
| MEDLINE
| ID: mdl-35094719
ABSTRACT
Background. Middle-ear carcinoid tumour is a rare malignant tumour with an indolent course occasionally causing regional or distant metastasis. This paper presents a case of middle-ear carcinoid tumour metastasising to the parapharyngeal space and the parotid gland 20 years after the first surgery.Case report. A 35-year-old woman who underwent multiple tympanomastoidectomies for middle-ear carcinoid presented with tumours of both the parapharyngeal space and parotid gland, detected by regular imaging. Based on the clinical course, metastatic relapse of middle-ear carcinoid was suspected. This was treated with subtotal parotidectomy with elective neck dissection (levels II and III), leading to the pathological diagnosis of carcinoid tumour. A cervico-parotid approach was selected to avoid complications associated with parapharyngeal space tumour removal. Transient facial palsy (House-Brackmann grade III) occurred, which completely recovered two months after surgery.Conclusion. Awareness of parapharyngeal space tumours possibly caused by metastasis from a middle-ear tumour is necessary.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ear Neoplasms
/
Parotid Neoplasms
/
Carcinoid Tumor
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
J Laryngol Otol
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2023
Document type:
Article
Affiliation country:
Japan