title: Primary temporal bone secretory meningioma presenting as chronic otitis media.
abstract: We report an extremely rare case of a secretory meningioma primarily involving the temporal bone. A 56-year old female patient presented to us with a history of a chronic otitis media and unilateral hearing loss. Diagnostic investigations revealed a tumor arising from the temporal bone without signs of intracranial involvement. Histopathological examination showed a meningioma of the secretory type. The tumor was partially resected and serial imaging at follow-up revealed no extension of the tumor. No new symptoms developed 1 year after surgery. Secretory meningioma is a rare meningioma subtype and extracranial presentation in the temporal bone is very unusual. We present the first case of a primary temporal bone secretory meningioma in the otorhinolaryngological literature. As radical as possible surgical excision with serial imaging at follow-up is recommended.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands. t.marcelissen@home.nl
authors.forename: T A T
authors.initials: TA
authors.lastname: Marcelissen
authors.forename: R B J
authors.initials: RB
authors.lastname: de Bondt
authors.forename: M
authors.initials: M
authors.lastname: Lammens
authors.forename: J J
authors.initials: JJ
authors.lastname: Manni
mesh_terms: D001301:Audiometry, Pure-Tone; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000150:complications* / Q000473:pathology*; D008579:Meningioma / Q000150:complications* / Q000473:pathology*; D008875:Middle Aged; D010034:Otitis Media with Effusion / Q000175:diagnosis* / Q000209:etiology*; D013702:Temporal Lobe / Q000473:pathology*