Aggressive papillary tumour of the nasopharynx followed by an aggressive papillary tumour of the middle ear. A multiple site tumour?
We report the case of a 72-year-old male presenting with a papillary adenocarcinoma of the middle ear. He had had a similar tumour excised from the ipsilateral nasopharynx seven years previously with no evidence of local recurrence. We conclude that this middle ear lesion possibly represents a second tumour. No record of such a case has been reported previously in the literature. We discuss presentation and management and highlight the need for close follow-up of these patients.
Karkos
P D
PD
Department of Otolaryngology, Ninewells University Hospital and Medical School, Dundee, UK. pkarkos@aol.com
Kelleher
R
R
Hilmi
O J
OJ
Davis
B C
BC
D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D000368:Aged; D004428:Ear Neoplasms / Q000473:pathology* / Q000601:surgery; D004432:Ear, Middle / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000473:pathology* / Q000601:surgery; D016609:Neoplasms, Second Primary / Q000473:pathology* / Q000601:surgery