Mature teratoma of the middle ear

The authors report a case of mature teratoma of the middle ear in a 3-year-old girl with a 1-year history of otitis media. Radiologic investigation revealed a partially cystic lesion of the petrous portion of the right temporal bone. It produced opacification of the middle ear as well as destruction...

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Veröffentlicht in:Otology & neurotology 2001, Vol.22 (1), p.76-78
Hauptverfasser: RONCAROLI, Federico, SCHEITHAUER, Bernd W, PIRES, Manuel M, SANTOS RODRIGUES, A, PEREIRA, Jorge R
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container_end_page 78
container_issue 1
container_start_page 76
container_title Otology & neurotology
container_volume 22
creator RONCAROLI, Federico
SCHEITHAUER, Bernd W
PIRES, Manuel M
SANTOS RODRIGUES, A
PEREIRA, Jorge R
description The authors report a case of mature teratoma of the middle ear in a 3-year-old girl with a 1-year history of otitis media. Radiologic investigation revealed a partially cystic lesion of the petrous portion of the right temporal bone. It produced opacification of the middle ear as well as destruction of septal air cells. The patient underwent a subtotal petrosectomy. Histologically, the tumor was composed of an intimate admixture of mature tissues representing all three germ layers, including brain, myelinated nerve trunks, skeletal muscle, bone, immature cartilage, seromucinous glands, and respiratory epithelium. Of note within the brain tissue was choroid plexus within an ependyma-lined rudimentary ventricle. Immunohistochemical studies were also performed. Twenty months after surgery, the patient was well, with complete recovery from symptoms. Teratomas of the middle ear are rare neoplasms. Only a few examples have been reported. As a rule, they are cured by resection and do not require adjuvant therapy.
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subjects Adipose Tissue - pathology
Biological and medical sciences
Bone Cysts - complications
Bone Cysts - pathology
Cerebrospinal Fluid Otorrhea - diagnosis
Cerebrospinal Fluid Otorrhea - etiology
Child, Preschool
Cholesteatoma, Middle Ear - etiology
Ear Neoplasms - complications
Ear Neoplasms - pathology
Ear Neoplasms - surgery
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Ear, Middle - pathology
Ear, Middle - surgery
Female
Hearing Loss, Conductive - diagnosis
Hearing Loss, Conductive - etiology
Humans
Magnetic Resonance Imaging
Medical sciences
Muscle, Skeletal - pathology
Otitis Media - complications
Otitis Media - diagnosis
Otorhinolaryngology. Stomatology
Petrous Bone - pathology
Severity of Illness Index
Teratoma - complications
Teratoma - pathology
Teratoma - surgery
Tumors
title Mature teratoma of the middle ear
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