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Multiple myeloma presenting with external ear canal mass
D Quinodoz1, P Dulguerov, A M Kurt
1Department of Otolaryngology-Head and Neck Surgery, University Canton Hospital, Geneva, Switzerland.
The Journal of Laryngology and Otology
|September 25, 1998
Summary
Multiple myeloma, a cancer affecting plasma cells, can present with ear pain (otalgia) as an initial symptom. Early diagnosis and treatment, including radiation and chemotherapy, can lead to remission.
Area of Science:
- Oncology
- Otolaryngology
Background:
- Multiple myeloma is a plasma cell malignancy often presenting with bone lesions, bone marrow, and renal dysfunction.
- Otological symptoms, though uncommon, can manifest in multiple myeloma patients.
Observation:
- A case study highlights a patient whose first symptom of multiple myeloma was otalgia.
- The patient had a temporal bone mass associated with the otalgia.
Findings:
- Combined local irradiation and systemic chemotherapy resolved the temporal bone mass and otalgia.
- The patient has remained in remission for 24 months post-treatment.
Implications:
- Otalgia can be an early, presenting symptom of multiple myeloma.
- Considering multiple myeloma in patients with temporal bone masses is crucial for timely diagnosis and management.