Head and Neck Pathology

, Volume 2, Issue 2, pp 97–98 | Cite as

Langerhans Cell Histiocytosis of the Temporal Bone

  • Brenda L. Nelson
Sine qua none Radiology-Pathology


A 14-month-old male presented with spontaneous left ear bleeding. The lesion was clinically thought to be, and was treated as, otitis media. When the condition failed to respond to antibiotics, a biopsy was performed. After biopsy, further clinical and radiographic work failed to disclose any additional lesions.

Radiographic Features

Computerized tomography of the skull at the time of diagnosis showed an osteolytic defect in the left temporal bone, creating a soft tissue density. The mass resulted in left mastoid bone destruction, including the ossicular bone chain in the middle ear (Fig.  1).


Temporal Bone Eosinophilic Granuloma Soft Tissue Density Birbeck Granule Mastoid Bone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The author wishes to thank Dr. Kelly Koeller for contributing this case.


The opinions and assertions expressed herein are those of the author and are not to be construed as official or representing the views of the Department of the Navy or the Department of Defense.


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Copyright information

© Humana Press 2008

Authors and Affiliations

  1. 1.Department of Anatomic Pathology Naval Medical Center San DiegoSan DiegoUSA

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