Cholesterol granuloma presenting as a mass obstructing the external ear canal

Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. We report a case of a CG occupying the mastoid antrum and presenting as a m...

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Published inBMC ear, nose and throat disorders Vol. 10; no. 1; p. 4
Main Authors Nikolaidis, Vasilios, Malliari, Hariklia, Psifidis, Dimosthenis, Metaxas, Spyridon
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 05.04.2010
BioMed Central
Subjects
Care and treatment
Case report
Cholesterol
CT imaging
Diagnosis
Granuloma
Health aspects
Magnetic resonance imaging
Methods
Middle ear
Properties
United States
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Abstract Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. We report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. The postoperative course was uneventful.
AbstractList Background Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. Case Presentation We report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. Conclusions The postoperative course was uneventful.
BACKGROUNDCholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. CASE PRESENTATIONWe report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. CONCLUSIONSThe postoperative course was uneventful.
Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. The postoperative course was uneventful.
Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear canal (EEC) is relatively rare and it can be a diagnostic challenge. We report a case of a CG occupying the mastoid antrum and presenting as a mass into the EEC. Temporal bone computerized tomography showed a soft tissue mass which eroded the posterior-superior bony wall of the EEC. On magnetic resonance imaging, the mass revealed a high signal on both T1 and T2-weighted images. The CG was removed by a mastoidectomy procedure and the histopathologic report confirmed the diagnosis of CG. A type III tympanoplasty was performed. The postoperative course was uneventful.
ArticleNumber 4
Audience Academic
Author Metaxas, Spyridon
Nikolaidis, Vasilios
Psifidis, Dimosthenis
Malliari, Hariklia
AuthorAffiliation 1 2nd Department of Otolaryngology, Aristotle University., Papageorgiou G.H., Thessaloniki, Greece
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Cites_doi 10.1177/000348949009900816
10.1148/radiology.172.2.2748835
10.1016/S0001-6519(02)78311-8
10.3109/00016488009127133
10.1097/00129492-200301000-00020
10.5858/2002-126-0217-CGOTMS
10.1017/S0022215100065865
10.3171/jns.1997.86.5.0822
10.1258/002221503321626366
10.1288/00005537-198909000-00003
10.1097/00002142-200004000-00004
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References 2382940 - Ann Otol Rhinol Laryngol. 1990 Aug;99(8):672-3
5940432 - J Laryngol Otol. 1966 Jul;80(7):691-8
11685628 - Acta Neurochir (Wien). 2001 Sep;143(9):947-52
14208008 - Proc R Soc Med. 1964 Sep;57:767-9
12803782 - J Laryngol Otol. 2003 May;117(5):344-8
6156569 - Acta Otolaryngol. 1980 Mar-Apr;89(3-4):233-9
9126898 - J Neurosurg. 1997 May;86(5):822-9
12544037 - Otol Neurotol. 2003 Jan;24(1):96-106; discussion 106
2770381 - Laryngoscope. 1989 Sep;99(9):896-907
10794198 - Top Magn Reson Imaging. 2000 Apr;11(2):87-97
2748835 - Radiology. 1989 Aug;172(2):521-5
12185905 - Acta Otorrinolaringol Esp. 2002 Apr;53(4):285-8
11825124 - Arch Pathol Lab Med. 2002 Feb;126(2):217-9
15799581 - Acta Otolaryngol. 2005 Jan;125(1):86-90
N Martin (66_CR1) 1989; 172
I Friedman (66_CR7) 1974
M Leon (66_CR11) 2002; 126
B Matt (66_CR6) 1990; 99
A Rinaldo (66_CR2) 2005; 125
J Sade (66_CR8) 1980; 89
AJ Korthals Altes (66_CR12) 1966; 80
T Terao (66_CR14) 2001; 143
M Pisaneschi (66_CR15) 2000; 11
IP Mc Naugthan (66_CR3) 1964; 57
M Maeta (66_CR16) 2003; 117
B Thedinger (66_CR17) 1999; 99
R Jackler (66_CR9) 2003; 24
J Novo Ruiz (66_CR10) 2002; 53
M Eisenberg (66_CR13) 1997; 86
S Koh (66_CR5) 2008; 51
D Campana (66_CR4) 1988; 54
References_xml – volume: 125
  start-page: 186
  year: 2005
  ident: 66_CR2
  publication-title: Acta Oto-Laryngologica
  contributor:
    fullname: A Rinaldo
– volume: 99
  start-page: 672
  year: 1990
  ident: 66_CR6
  publication-title: Ann Otol Rhinol Laryngol
  doi: 10.1177/000348949009900816
  contributor:
    fullname: B Matt
– volume: 172
  start-page: 521
  year: 1989
  ident: 66_CR1
  publication-title: Radiology
  doi: 10.1148/radiology.172.2.2748835
  contributor:
    fullname: N Martin
– volume: 53
  start-page: 285
  year: 2002
  ident: 66_CR10
  publication-title: ActaOtorinolaringol Esp
  doi: 10.1016/S0001-6519(02)78311-8
  contributor:
    fullname: J Novo Ruiz
– start-page: 103
  volume-title: Pathology of the ear
  year: 1974
  ident: 66_CR7
  contributor:
    fullname: I Friedman
– volume: 89
  start-page: 233
  year: 1980
  ident: 66_CR8
  publication-title: Acta Otolaryngol
  doi: 10.3109/00016488009127133
  contributor:
    fullname: J Sade
– volume: 54
  start-page: 112
  year: 1988
  ident: 66_CR4
  publication-title: Rev Bras Otorrinolaringol
  contributor:
    fullname: D Campana
– volume: 51
  start-page: 1143
  year: 2008
  ident: 66_CR5
  publication-title: Korean J Otolaryngol
  contributor:
    fullname: S Koh
– volume: 24
  start-page: 96
  year: 2003
  ident: 66_CR9
  publication-title: Otol Neurol
  doi: 10.1097/00129492-200301000-00020
  contributor:
    fullname: R Jackler
– volume: 57
  start-page: 767
  year: 1964
  ident: 66_CR3
  publication-title: Proc R Soc Med
  contributor:
    fullname: IP Mc Naugthan
– volume: 143
  start-page: 947
  year: 2001
  ident: 66_CR14
  publication-title: ActaNeurochir
  contributor:
    fullname: T Terao
– volume: 126
  start-page: 217
  year: 2002
  ident: 66_CR11
  publication-title: Arch Pathol Lab Med
  doi: 10.5858/2002-126-0217-CGOTMS
  contributor:
    fullname: M Leon
– volume: 80
  start-page: 691
  year: 1966
  ident: 66_CR12
  publication-title: The Journal of Laryngology and Otology
  doi: 10.1017/S0022215100065865
  contributor:
    fullname: AJ Korthals Altes
– volume: 86
  start-page: 822
  year: 1997
  ident: 66_CR13
  publication-title: J Neurosurg
  doi: 10.3171/jns.1997.86.5.0822
  contributor:
    fullname: M Eisenberg
– volume: 117
  start-page: 344
  year: 2003
  ident: 66_CR16
  publication-title: The Journal of Laryngologyand Otology
  doi: 10.1258/002221503321626366
  contributor:
    fullname: M Maeta
– volume: 99
  start-page: 896
  year: 1999
  ident: 66_CR17
  publication-title: Laryngoscope
  doi: 10.1288/00005537-198909000-00003
  contributor:
    fullname: B Thedinger
– volume: 11
  start-page: 87
  year: 2000
  ident: 66_CR15
  publication-title: Topics in magnetic resonance imaging
  doi: 10.1097/00002142-200004000-00004
  contributor:
    fullname: M Pisaneschi
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Snippet Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the external ear...
Background Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the...
BACKGROUNDCholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the...
BACKGROUND: Cholesterol granuloma (CG) may involve the middle ear, the mastoid bone and the petrous apex. However, CG presenting as a mass obstructing the...
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SubjectTerms Care and treatment
Case report
Cholesterol
CT imaging
Diagnosis
Granuloma
Health aspects
Magnetic resonance imaging
Methods
Middle ear
Properties
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Title Cholesterol granuloma presenting as a mass obstructing the external ear canal
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