Ces radiol. 2013, 67(4):307-310
Ear discharge as a symptom of a malignant tumor of a temporal boneCase report
- 1 Radiologická klinika LF UK, Fakultní nemocnice v Hradci Králové
- 2 Klinika otorinolaryngologie a chirurgie hlavy a krku LF UK, Fakultní nemocnice v Hradci Králové
We report a case of 5-year-old boy with a week lasting pain and a discharge of the right ear. Symptoms persisted without improvement despite antibiotic treatment. The otoscopic finding seemed to be a polyp mass obturing an external auditory canal and was accompained with a sanguinolent discharge. The boy's head was examined by high resolution computer tomography (HRCT) and magnetic resonance imaging (MRI) with finding of soft tissue mass filling the external auditory canal, a middle ear, mastoid and its air cell system and large bone destruction in the area of the mesotympanum, protympanum, apex of pyramid and carotic canal on the right side.
The final diagnosis of rhabdomyosarcoma was set down by histological examination of a sample obtained from polyp mass in external auditory canal. The aim of this article is to call attention to a possibility of rare but serious cause of the ear discharge.
Keywords: magentic resonance imaging (MRI), otitis, computer tomography (CT), rhabdomyosacoma
Accepted: September 15, 2013; Published: December 1, 2013 Show citation
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