Abstract
A recurrence of a primary carcinoid tumor of the middle ear 15 years after radical tympanomastoidectomy is reported. An extended subtotal petrosectomy using a craniocervical approach with temporary infracondylar mandibulotomy was performed, since imaging studies demonstrated an extensive tumor with a close relationship to the tegmen tympani, facial nerve, and ascending and horizontal portions of the carotid canal. The tumor was metabolically inactive. Histopathological examination showed a solid, trabecular tumor that was positive for pancytokeratin Lu5, neuron-specific enolase, pancreatic intestinal polypeptide and glucagon. Neuroendocrine-granules were demonstrable under electron microscopy. This case is reported to show that primary middle-ear carcinoid tumors can recur years after radical tympanomastoidectomy.
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Received: 14 August 1996 / Accepted: 26 March 1997
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Knerer, B., Matula, C., Youssefzadeh, S. et al. Treatment of a local recurrence of a carcinoid tumor of the middle ear by extended subtotal petrosectomy. European Archives of Oto-Rhino-Laryngology 255, 57–61 (1998). https://doi.org/10.1007/s004050050018
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DOI: https://doi.org/10.1007/s004050050018