Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Ear Neoplasms”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 55 records · Page 3Linked to original sources

Multiple glomus tumours.

A patient with multiple, synchronous, non-familial head and neck paragangliomas is reported. There were three primary neoplasms, a glomus tympanicum and glomus vagale on the right side and a glomus tumour of the carotid body on the left. Such a combination has never been reported previously. The reports of all the series with paragangliomas in the literature, as well as the reports of single cases with multiple tumours during the last three decades, are reviewed. Specific problems in diagnosis and management of multiple glomus tumours are discussed.

Adult↗

Surgery for glomus tumors at the skull base.

Glomus tumors of the temporal bone frequently involve the skull base. In the present study, 34% of the tumors occurred with cranial nerve palsies and 15% invaded the CNS. The procedure for surgical resection of glomus tumors of the skull base is described. Results of the procedure included successful surgical resection of 80% of the glomus jugulare tumors and of 94% of the glomus tympanicum tumors. Tumor recurrence and persistence occurred only in the patients with CNS invasion.

Cranial Nerve Neoplasms↗

[Facial neurinoma].

Explore the source record for details and available documents.

Adult↗

[Metastases in both internal auditive meatus of nasosinusal melanoma].

Primary malignant melanoma of the nasal and paranasal sinusses is rare and represent 3% of malignant nasosinusal tumors. The prognosis of this tumor is poor. The evolution is unpredictable; there is very commonly a series of local recurrences which may be well controlled, followed by remote metastases remaining long quiescent. There are no statistical difference in local control or survival between patients receiving surgery alone and those receiving surgery and radiotherapy. Chemotherapy is used for metastatic forms. We present a case of a patient with a primary malignant melanoma of the nasal mucosa. Tree years after diagnosis we found intracranial metastases in left and right auditive internal meatus.

Brain Neoplasms↗

Approach design and closure techniques to minimize cerebrospinal fluid leak after cerebellopontine angle tumor surgery.

OBJECTIVE: The purpose of the study was to identify specific aspects of surgical approach design and closure technique aimed at reducing the incidence of cerebrospinal fluid leak after cerebellopontine angle tumor surgery. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: All patients undergoing cerebellopontine angle tumor surgery at the study institution from January 1996 through September 2004. MAIN OUTCOME MEASURE: The presence or absence of cerebrospinal fluid leak after various surgical approaches for a wide variety of cerebellopontine angle tumors. RESULTS: Three hundred forty three patients underwent surgery for cerebellopontine angle tumors at the study institution during the study period. Tumor types in descending order of frequency were as follows: acoustic neuroma, 244; cerebellopontine angle meningiomas, 33; petroclival meningiomas, 32; foramen magnum meningiomas, 10; epidermoid tumors, 9; facial nerve tumors, 6; hemangiopericytomas, 3; schwannomas of glossopharyngeal/spinal accessory nerves, 3; and unusual internal auditory canal tumors, 3. Surgical approaches used for tumor resection included translabyrinthine, retrosigmoid, combined transpetrosal, far lateral/transcondylar, middle cranial fossa, and extended middle cranial fossa. During the nearly 8-year study period, four postoperative cerebrospinal fluid leaks were encountered, resulting in a leak rate of 1.2%. Two of these patients required surgical repair of their leaks; the other two stopped spontaneously. The authors describe specific aspects of approach design and closure that appear to have a positive impact on postoperative cerebrospinal fluid leak rates. CONCLUSION: Attention to specific aspects of surgical approach design and wound closure results in a reduced incidence of cerebrospinal fluid leak after surgery for cerebellopontine angle tumors.

Cerebellopontine Angle↗

Radiation therapy in the treatment of chemodectomas.

Twenty-six patients with chemodectomas were treated with radiation therapy from 1961 to 1983 and followed for at least 4 years. In 16 glomus tympanicum lesions treated primarily with radiation, long-term control was achieved in all (follow-up 4-24 years, mean 10.5). Fifteen of 16 had no clinical evidence of disease at time of death or last follow-up, and one patient had recurrent but stable disease at 10 years and died of an unrelated illness 19 years after treatment. Eight of the glomus tympanicum lesions were referred for radiation therapy with persistent disease after multiple surgical procedures. Two had extensive skull and intracranial involvement at the time of radiation. Six patients with glomus jugulare lesions were treated with radiation. Four achieved long-term control, and two died of their disease. In addition, two glomus vagal and one carotid body tumor were treated with palliative intent. One glomus tympanicum lesion was treated with preoperative radiation and resection. Chemodectoma was the cause of death in 4 of 25 patients--3 from intracranial extension and 1 from lung and mediastinal metastases. All four patients were referred for radiation with metastases or extensive bone involvement at the skull base. Radiation appears to be effective in achieving long-term clinical control of chemodectomas. Adequately treated volume should be determined with arteriography and/or contrast-enhanced computer tomography, allowing for geometric margins. Doses in the range of 4,500 to 5,000 cGy delivered in about 5 weeks are recommended.

Adult↗

MR detection of tumor in the internal auditory canal.

The MR appearance of 15 tumors within or near the internal auditory canal was analyzed in detail and compared with the subsequent surgical observations. In most cases, nonenhanced MR showed the precise extent of the intracanalicular and extracanalicular tumor despite minor variations in appearance. In a case of facial nerve neurinoma, the extent to which the tumor invaded the canal was underestimated by MR. Gadolinium-DTPA enhancement is expected to eliminate uncertainties in MR imaging of the internal auditory canal.

Cerebellar Neoplasms↗

[Magnetic resonance with GD-DTPA in acoustic neuroma: personal experience].

Magnetic Resonance (MR) is currently becoming an important diagnostic pool in therapy planning and care of patients with tumors of the head and neck. In this work MR with GD-DTPA was used to all subjects suffered from acoustic neuroma: in 18 patients (86%) the diagnosis was possible with sequences obtained without contrast medium; in 3 patients (14%) the used of Gd-DTPA was essential in diagnosing the tumor. The Authors conclude that MR with Gd-DTPA is helpful in revealing neuromas of the internal auditory canal, multiple lesions of neurofibromatosis and tumor recurrence.

Adult↗

The investigation of petro-mastoid tumours by high resolution CT.

Fifty-three patients with proven tumours of the petro-mastoid have been investigated by high-resolution computerized tomography. They comprised benign and malignant epithelial tumours; primary and secondary cholesteatomata; neurogenic and glomus tumours; meningiomas and secondary neoplasms. High resolution CT has the advantage of showing both bone erosion and the soft tissue mass of the tumour. This is important both for diagnosis and to show the extent of malignant disease in the petro-mastoid. The technique has become an integral part of the X-ray examination of these patients and in many respects has superseded other methods of investigation such as pluri-directional tomography and angiography.

Adenoma↗

The demonstration of glomus tumours by subtraction MRI.

Thirteen patients with 14 glomus tumours have been examined by subtraction gadolinium-enhanced magnetic resonance imaging (MRI), with T1-weighted MR sequences before and after intravenous gadolinium-DTPA. To eliminate movement between subtraction pairs, the patient remains in the tunnel of the imager during administration of the contrast medium, and the venepuncture is made into the dorsum of the foot. The effect of the subtraction process is to remove the NMR signal from the final image so that the photographic densities recorded are dependent on the vascularity of the tissue concerned, normal or abnormal. A particular advantage is the removal of fat signal: the low vascularity of adipose tissue ensures that it is recorded as of minimal density. The extent of skull base glomus tumours has been shown optimally by this technique. Subtraction can also help differentiate glomus tympanicum from glomus jugulare lesions, which may be of crucial importance when deciding the surgical approach. In addition to diagnosis, the technique is also important post-operatively, when imaging is needed to show residual or recurrent tumour and to monitor the effects of radiotherapy.

Adult↗