TY - JOUR
T1 - Primary adenocarcinoma of the temporal bone mimicking paragangliomas
T2 - Radiographic and clinical recognition
AU - Goebel, J. A.
AU - Smith, P. G.
AU - Kemink, J. L.
AU - Graham, M. D.
PY - 1987
Y1 - 1987
N2 - Three cases of primary adenocarcinoma of the temporal bone which simulated a glomus jugular tumor (on the basis of a thorough preoperative evaluation) are detailed. In each case, a vascular mass was seen beneath an intact tympanic membrane and angiography revealed the presence of a highly vascular mass centered on the jugular bulb. Computed tomography revealed erosive changes within the jugular fossa that were characteristic of a glomus jugular tumor; in two cases, a significant posterior fossa extension was documented. The intraoperative findings failed to suggest a lesion different from paraganglioma in two of the cases; in the remaining case, the erosion of both bone and dura was diffuse and more suggestive of a malignant neoplasm. A discussion of the clinical behavior of adenocarcinomas of the middle ear is included in order to emphasize the importance of differentiating these lesions preoperatively from the more commonly encountered paragangliomas.
AB - Three cases of primary adenocarcinoma of the temporal bone which simulated a glomus jugular tumor (on the basis of a thorough preoperative evaluation) are detailed. In each case, a vascular mass was seen beneath an intact tympanic membrane and angiography revealed the presence of a highly vascular mass centered on the jugular bulb. Computed tomography revealed erosive changes within the jugular fossa that were characteristic of a glomus jugular tumor; in two cases, a significant posterior fossa extension was documented. The intraoperative findings failed to suggest a lesion different from paraganglioma in two of the cases; in the remaining case, the erosion of both bone and dura was diffuse and more suggestive of a malignant neoplasm. A discussion of the clinical behavior of adenocarcinomas of the middle ear is included in order to emphasize the importance of differentiating these lesions preoperatively from the more commonly encountered paragangliomas.
UR - http://www.scopus.com/inward/record.url?scp=0023090791&partnerID=8YFLogxK
U2 - 10.1177/019459988709600302
DO - 10.1177/019459988709600302
M3 - Article
C2 - 3108805
AN - SCOPUS:0023090791
SN - 0194-5998
VL - 96
SP - 231
EP - 238
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 3
ER -