Surgical treatment by partial petrosectomy for a middle-ear carcinoid with progressive extension: a case report and review of the literature.
We herein report a 59-year-old male patient with a recurrent carcinoid tumor of the middle ear 7 years after a tympanomastoidectomy. The CT and dynamic MRI demonstrated an extensive tumor close to the carotid artery canal and the jugular bulb, and the tumor was removed by a partial petrosectomy with a transmastoid approach. The histopathological findings revealed a solid and trabecular tumor with cells positive for cytokeratin, chromogranin A, synaptophysin, and CD56. The MIB-1 antibody for the Ki-67 antigen was positive in 6.6% of the tumor cells. The relevant literature is reviewed in regard to the present case.
Aoki
Mitsuhiro
M
Department of Otolaryngology, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City 501-1194, Japan.
Mizuta
Keisuke
K
Ueda
Natsuko
N
Yamada
Nansei
N
Ito
Yatsuji
Y
Kato
Hiroki
H
Hirose
Yoshinobu
Y