An atypical presentation of recurrent temporal lobe meningioma with external auditory canal mass.
Extracranial spread of recurrent meningiomas involving the middle ear is rare. We present the case of a 59-year-old woman with headache and swelling of scalp over the right temporal region. MRI revealed a lesion in the right temporal lobe suggestive of meningioma. She underwent complete surgical excision of the lesion followed by post-operative radiotherapy. After 1 year, she presented with right-sided otalgia and a middle-ear mass extruding into the external auditory canal. She was re-operated and histopathology was anaplastic meningioma. We are discussing this unusual pattern of recurrence in our patient with a review of literature.
Munshi
A
A
Department of Radiation Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India. anusheel8@hotmail.com
Dutta
D
D
Muzumdar
D
D
Jalali
R
R
D003638:Deafness / Q000209:etiology*; D004424:Ear Canal / Q000473:pathology* / Q000601:surgery; D004428:Ear Neoplasms / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008577:Meningeal Neoplasms / Q000473:pathology* / Q000601:surgery; D008579:Meningioma / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012307:Risk Factors; D013702:Temporal Lobe / Q000473:pathology* / Q000601:surgery