title: A reddish pulsatile mass beyond tympanic membrane: think before act.
abstract: We report a case of a 76-year-old man that referred to our hospital because of progressive mixed right hearing loss, aural fullness and pulsatile tinnitus synchronized with heart beats. Otoscopic examination revealed a reddish pulsatile mass beyond tympanic membrane. CT and MRI scans showed a class C glomus tumor. Anamnesis and a complete physical examination, with careful differential diagnosis, should be obtained to rule out highly vascularized middle ear lesion before any invasive procedure.
authors.affiliation: Unit of Otolaryngology, University Campus Bio-Medico, Rome, Italy. l.sabatino@unicampus.it.
authors.forename: M
authors.initials: M
authors.lastname: Casale
authors.forename: L
authors.initials: L
authors.lastname: Sabatino
authors.forename: F
authors.initials: F
authors.lastname: Greco
authors.forename: A
authors.initials: A
authors.lastname: Moffa
authors.forename: P
authors.initials: P
authors.lastname: Vella
authors.forename: C C
authors.initials: CC
authors.lastname: Quattrocchi
authors.forename: F
authors.initials: F
authors.lastname: Salvinelli
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D005918:Glomus Tumor / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014012:Tinnitus / Q000175:diagnosis*; D014432:Tympanic Membrane