Korean J Otorhinolaryngol-Head Neck Surg.  2010 Mar;53(3):179-183. 10.3342/kjorl-hns.2010.53.3.179.

Delayed Diagnosis of Metastatic Prostatic Adenocarcinoma in Temporal Bone

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inje University, Busan, Korea. heokw96@kornet.net
  • 2Department of Pathology, College of Medicine, Inje University, Busan, Korea.
  • 3Department of Nuclear Medicine, College of Medicine, Inje University, Busan, Korea.

Abstract

Metastasis to the temporal bone is uncommon. In some cases, metastasis may be the first evidence of malignant dissemination, but more frequently, the diagnosis is unsuspected, possibly because ear symptoms are overshadowed by those deriving from the primary tumor. It is not until they have symptoms like hearing loss, otalgia, facial nerve paralysis, periauricular swelling, otorrhea, or even an aural mass that patients usually undergo treatment at the late stage of the disease course. Tumors of the breast, lung, and kidney are the most common sources of temporal bone metastasis. Although axial bone and cranial metastases are common in patients with prostatic carcinoma, temporal bone involvement is extremely rare. We report a case of metastatic prostatic adenocarcinoma in the temporal bone which was diagnosed with delay.

Keyword

Neoplasm metastasis; Temporal bone; Prostate; Facial paralysis

MeSH Terms

Adenocarcinoma
Breast
Delayed Diagnosis
Ear
Earache
Facial Nerve
Facial Paralysis
Hearing Loss
Humans
Kidney
Lung
Neoplasm Metastasis
Paralysis
Prostate
Temporal Bone
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