Middle ear carcinoid with distant osseous metastasis.
Middle ear carcinoid is a rare entity with an indolent clinical course. Numerous reports have described local recurrence and metastasis to the cervical lymph nodes, although only one report of distant visceral metastasis exists in the literature. We describe the potential for osseous metastasis. A 52-year-old male with previous middle ear carcinoid (resected 10 years prior) presented with a neck mass. Subsequent workup revealed a suspicious lytic lesion of the iliac crest. Selective neck dissection and core biopsy of the iliac lesion were performed, which revealed concurrent histologically identical metastasis to both the cervical lymph nodes and iliac crest, morphologically indistinguishable from the previous middle ear carcinoid. This case presents the novel description of distant osseous metastasis of middle ear carcinoid.
Department of Otolaryngology-Head and Neck Surgery, University of Miami-Miller School of Medicine, Miami, Florida, USA. cfundakowski@med.miami.edu
Christopher E
CE
Fundakowski
Jennifer R
JR
Chapman
Giovanna
G
Thomas
D001859:Bone Neoplasms / Q000556:secondary*; D002276:Carcinoid Tumor / Q000175:diagnosis / Q000473:pathology*; D003937:Diagnosis, Differential; D004428:Ear Neoplasms / Q000473:pathology*; D004432:Ear, Middle; D006801:Humans; D007085:Ilium; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D049268:Positron-Emission Tomography