WSI22-144: Ear and Temporal Bone

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Request type Study
Subspecialty Head and Neck
Set ENT Pathology
Topic Ear and Temporal Bone
Presenter Sadow, Peter M.,MD, PhD
Date and time Saturday, October 1, 2022 12:00 PM


Toggle columns: Diagnosis

Case Clinical history Requester Diagnosis
Case Clinical history Requester Diagnosis

Case 1


71 year old male with right ear helix lesion Si787 Poorly differentiated SCC with spindle cell and sarcomatoid features

Case 2


81 year old with middle ear (L) lesion Si787 Paraganglioma (glomus tympanicum)

Case 3


53 year old female with left cerebellopontine angle tumor Si787 Schwannoma

Case 4


57 year old male with left ear mass since birth growing with occasional white with hard white malodorous drainage Si787 Trichofolliculoma completely excised

Case 5


43 year old female with left middle ear lesion Si787 Middle ear carcinoma

Case 6


1 year old male with right post auricular cyst Si787 Juvenile xanthogranuloma

Case 7


62 year old male with left external auditory canal mass seen on exam of age-related sensorineural hearing loss Si787 Benign mixed tumor (1.2 cm) completely excised

Case 8


43 year old female with middle ear mass Si787 Middle ear carcinoid

Case 9


32 year old male with left middle ear mass Si787 Middle ear adenoma (middle ear carcinoid tumor)

Case 10


36 year old male with enlarging painful mass over the left external auditory canal Si787 Osteoma (0.7 cm)

Case 11


24 year old female with articular disc disorder of (B) temperomandibular joint Si787 Tenosynovial giant cell tumor (pigmented villonodular synovitis)

Case 12


41 year old female with left auditory canal tumor Si787 Acoustic neuroma

Case 13


36 year old female with several year h/o left sided pulsatile tinnitis Si787 Jugalotympanic paraglioma (glomus tympanicum)

Case 14


36 year old male with an enlarging very painful mass over the left auditory canal Si787 Osteoma (0.7 cm)

Case 15


60 year old woman with right middle ear lesion Si787 Paraganglioma of the middle ear

Case 16


48 year old female with increased pressure in R ear for 6 months Si787 Middle ear adenoma with neuroendocrine differentiation. Middle ear carcinoid. Well-differentiated neuroendocrine carcinoma

Case 17


47 year old male with left temporal bone lesion destructive tumor of mastoid Si787 Langerhans cell histiocytosis

Case 18


71 year old male with left ear lesion Si787 Spindle cell SCC

Case 19


52 year old female with NF1 and a right postauricular mass Si787 Neurofibroma diffuse type

Case 20


43 year old female with chronic otitis media Si787 Meningoencephalocele

Case 21


62 years old with left parotid mass with extension into the external auditory canal Si787 Mucoepidermoid carcinoma oncocytic type. Low to focally intermediate grade

Case 22


59 year old female Si787 Paraganglioma

Case 23


40 year old male Si787 Tenosynovial giant cell tumor diffuse type (formerly pigmented villonodular synovitis)

Case 24


40 year old male Si787 Tenosynovial giant cell tumor diffuse type (formerly pigmented villonodular synovitis)

Case 25


69-year-old male with a left middle ear/mastoid mass and progressive hearing loss over the past 8 years more pronounced in the left ear. Otoscopic examination revealed mass in the middle ear with an opacified tympanic membrane. CT scan as well as MRI were suspicious for middle ear mass versus inflammatory tissue (e.g. GPA). Of note past MRI from 2018 also reported inflammatory changes in the left otomastoid region. -Obtain past MRI scans and hearing tests from UMass and outside Hospital for comparison. Pms36 Middle ear neuroendocrine tumor (MeNET)