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Aural Polyp or Temporal Bone Carcinoma: Lesson to Learn.
Khairil Afif Mahmud1, Zara Nasseri1, Shahizon Azura Mohamed Mukari2
1Department of Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus
|April 5, 2021
Summary
Temporal bone carcinoma, a rare head and neck cancer, can mimic benign ear conditions. Early diagnosis through imaging and biopsy is crucial to prevent delayed treatment and poor prognosis in patients with persistent ear masses.
Area of Science:
- Oncology
- Otolaryngology
- Head and Neck Surgery
Background:
- Temporal bone carcinoma is a rare malignancy in the head and neck region.
- Clinical presentation often mimics benign ear diseases, complicating diagnosis and management.
Observation:
- A 53-year-old female presented with otalgia, otorrhea, and hearing loss, initially misdiagnosed as an aural polyp.
- Imaging revealed an external auditory canal mass with extradural and parotid extension.
- Biopsy confirmed squamous cell carcinoma of the temporal bone.
Findings:
- The patient declined surgery, leading to rapid metastasis to the lung, liver, and vertebral bodies within a month.
- Palliative chemo-radiotherapy was initiated.
Implications:
- Temporal bone malignancy should be a key differential diagnosis for non-resolving ear masses in older adults.
- Prompt imaging and histopathological evaluation are essential for accurate diagnosis and timely treatment.
- Delayed diagnosis and treatment of temporal bone carcinoma can result in poor prognosis and metastasis.
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