title: Primary melanoma of the middle ear.
abstract: We present a case of a 52-year-old white female with what we believe is the first documented example of a primary melanoma of the middle ear. Multiple myringotomies and two tube insertions over a 14-month period were carried out until frank hemorrhage was encountered on the last one. Middle ear exploration found the lesion to be a primary melanoma. The supposed course of her diseased ear is discussed as regards the lag between effusion and frank blood when tumor was finally hit on the last myringotomy.
mesh_terms: D004428:Ear Neoplasms / Q000175:diagnosis* / Q000473:pathology; D004432:Ear, Middle; D005260:Female; D006801:Humans; D008545:Melanoma / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged