engleski

Presentation of a young patient with ear fullness and tinnitus due to a rare tumor

We present a case of a young female patient (19 years old), who experienced ear fullness and tinnitus regarding her right ear which were present for one year. CASE DESCRIPTION: The patient reported unilateral ear fullness and tinnitus in the last year. She had no other medical or family history. The pure tone audiometry showed normal hearing on the left while on the right ear hearing was normal in lower frequencies and sensorineural hearing loss was present at 4kHz of 90 dB. Tympanometry showed no abnormalities. Otoscopy discovered red discoloration under the eardrum. MR imaging of the head was done earlier and showed no abnormalities. Due to the clinical image and because the symptoms did not abate, another MR image was performed, but this time MR of the temporal bone with contrast. A formation dimensions 8x5 mm in middle ear was discovered. Surgical procedure was indicated. It included exploration and extirpation of the tumor. DISCUSSION: Middle ear adenoma is a rare benign tumor that develops from the epithelial mucosa. It can occur at any age with no age predilection. Furthermore, it has no specific signs or symptoms, making the diagnosis difficult. It is necessary to perform PHD and immunohistochemical tests for the confirmation of the diagnosis, after the suspicion of the disease was set based on the clinical findings, audiometry and imaging (CT, MR). The differential diagnosis to cholesteatoma and other tumors (schwannoma, meningioma) is important due to the mode of treatment. CONCLUSION: Adenomas of the middle ear are rare. Since the clinical presentation is not specific, the diagnosis is challenging and even microscopic examination and immunohistochemistry sometimes do not give the clear diagnosis. Surgical exploration and extirpation is the treatment choice and regular follow-up including clinical examination and MR imaging are recommended.

ear fulness ; tinnitus ; ear tumor

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