Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature

Breast, lung, and prostate cancers are the three most common malignancies to metastasize to the temporal bone. Still, metastatic prostate cancer of the temporal bone is a rare finding, with approximately 21 cases reported in the literature and only 2 cases discovered more than 10 years after initial...

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Main Authors: Erynne A. Faucett, Hal Richins, Rihan Khan, Abraham Jacob
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/250312
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author Erynne A. Faucett
Hal Richins
Rihan Khan
Abraham Jacob
author_facet Erynne A. Faucett
Hal Richins
Rihan Khan
Abraham Jacob
author_sort Erynne A. Faucett
collection DOAJ
description Breast, lung, and prostate cancers are the three most common malignancies to metastasize to the temporal bone. Still, metastatic prostate cancer of the temporal bone is a rare finding, with approximately 21 cases reported in the literature and only 2 cases discovered more than 10 years after initial treatment of the primary. This disease may be asymptomatic and discovered incidentally; however, hearing loss, otalgia, cranial nerve palsies, and visual changes can all be presenting symptoms. We present the case of a 95-year-old man with history of primary prostate cancer treated 12 years earlier that was seen for new-onset asymmetric hearing loss and otalgia. The tympanic membranes and middle ears were normal; however, based on radiologic findings and eventual biopsy, the patient was diagnosed with extensive metastatic prostate cancer to the left temporal bone. This case (1) demonstrates that a high index of suspicion for unusual etiologies of seemingly benign symptoms must be maintained in elderly patients having prior history of cancer and (2) substantiates the value of temporal bone imaging when diagnosis may be unclear from history and physical exam.
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spelling doaj-art-ef17c584e5194858aa85062e3769f46a2025-02-03T01:30:10ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/250312250312Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the LiteratureErynne A. Faucett0Hal Richins1Rihan Khan2Abraham Jacob3Department of Otolaryngology–Head and Neck Surgery, University of Arizona College of Medicine, Tucson, AZ, USAUniversity of Arizona College of Medicine, Tucson, AZ, USADepartment of Medical Imaging, University of Arizona College of Medicine, Tucson, AZ, USADepartment of Otolaryngology–Head and Neck Surgery, University of Arizona College of Medicine, Tucson, AZ, USABreast, lung, and prostate cancers are the three most common malignancies to metastasize to the temporal bone. Still, metastatic prostate cancer of the temporal bone is a rare finding, with approximately 21 cases reported in the literature and only 2 cases discovered more than 10 years after initial treatment of the primary. This disease may be asymptomatic and discovered incidentally; however, hearing loss, otalgia, cranial nerve palsies, and visual changes can all be presenting symptoms. We present the case of a 95-year-old man with history of primary prostate cancer treated 12 years earlier that was seen for new-onset asymmetric hearing loss and otalgia. The tympanic membranes and middle ears were normal; however, based on radiologic findings and eventual biopsy, the patient was diagnosed with extensive metastatic prostate cancer to the left temporal bone. This case (1) demonstrates that a high index of suspicion for unusual etiologies of seemingly benign symptoms must be maintained in elderly patients having prior history of cancer and (2) substantiates the value of temporal bone imaging when diagnosis may be unclear from history and physical exam.http://dx.doi.org/10.1155/2015/250312
spellingShingle Erynne A. Faucett
Hal Richins
Rihan Khan
Abraham Jacob
Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
Case Reports in Otolaryngology
title Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
title_full Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
title_fullStr Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
title_full_unstemmed Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
title_short Metastatic Prostate Cancer to the Left Temporal Bone: A Case Report and Review of the Literature
title_sort metastatic prostate cancer to the left temporal bone a case report and review of the literature
url http://dx.doi.org/10.1155/2015/250312
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AT rihankhan metastaticprostatecancertothelefttemporalboneacasereportandreviewoftheliterature
AT abrahamjacob metastaticprostatecancertothelefttemporalboneacasereportandreviewoftheliterature