TY - JOUR
T1 - Isolated primary squamous cell carcinoma of the tympanic membrane
AU - Wijaya, Clifton
AU - Leonard, David S.
AU - Kinsella, John B.
AU - McShane, Donald P.
PY - 2013
Y1 - 2013
N2 - INTRODUCTION: Primary squamous cell carcinoma (SCC) of the tympanic membrane is exceptionally rare. We describe the history, investigation and management of this disease. PRESENTATION OF CASE: A 68-year-old woman presented with a three month history of intermittent otorrhoea and external ear canal (EAC) pruritus. Otoscopy revealed a polypoidal granular nodule, confined to the posterior aspect of the tympanic membrane. Examination under anaesthesia (EUA) confirmed that the lesion was confined to the tympanic membrane, with a surrounding rim of normal drum. Biopsies were consistent with well differentiated SCC. DISCUSSION: Following discussion at multi-disciplinary team meeting for treatment planning, the patient underwent lateral temporal bone resection with ipsilateral superficial parotidectomy and selective neck dissection. Post-operative histology confirmed an SCC confined to the tympanic membrane. CONCLUSION: SCC of the tympanic membrane is an extremely rare condition. As with early temporal bone SCC, surgical resection with adjacent structure clearance remains the primary treatment modality.
AB - INTRODUCTION: Primary squamous cell carcinoma (SCC) of the tympanic membrane is exceptionally rare. We describe the history, investigation and management of this disease. PRESENTATION OF CASE: A 68-year-old woman presented with a three month history of intermittent otorrhoea and external ear canal (EAC) pruritus. Otoscopy revealed a polypoidal granular nodule, confined to the posterior aspect of the tympanic membrane. Examination under anaesthesia (EUA) confirmed that the lesion was confined to the tympanic membrane, with a surrounding rim of normal drum. Biopsies were consistent with well differentiated SCC. DISCUSSION: Following discussion at multi-disciplinary team meeting for treatment planning, the patient underwent lateral temporal bone resection with ipsilateral superficial parotidectomy and selective neck dissection. Post-operative histology confirmed an SCC confined to the tympanic membrane. CONCLUSION: SCC of the tympanic membrane is an extremely rare condition. As with early temporal bone SCC, surgical resection with adjacent structure clearance remains the primary treatment modality.
KW - Lateral temporal bone resection
KW - Neck dissection
KW - Squamous cell carcinoma of tympanic membrane
UR - http://www.scopus.com/inward/record.url?scp=84868229204&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2012.08.012
DO - 10.1016/j.ijscr.2012.08.012
M3 - Article
C2 - 23123413
AN - SCOPUS:84868229204
SN - 2210-2612
VL - 4
SP - 33
EP - 35
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
IS - 1
ER -