Papillary Endolymphatic Sac Tumor: A Case Report

Glandular tumors involving the middle ear are rare and distinguishing between adenoma and adenocarcinoma remains difficult. A distinct subclass of these tumors demonstrates microscopic papillary architecture and has a propensity to erode the petrous bone and extend intracranially. The term “aggressi...

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Main Authors: S. Arava, R. M. Soumya, S. Chitragar, R. Safaya, S. H. Chandrashekhar, Alok Thakar
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2012/163851
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author S. Arava
R. M. Soumya
S. Chitragar
R. Safaya
S. H. Chandrashekhar
Alok Thakar
author_facet S. Arava
R. M. Soumya
S. Chitragar
R. Safaya
S. H. Chandrashekhar
Alok Thakar
author_sort S. Arava
collection DOAJ
description Glandular tumors involving the middle ear are rare and distinguishing between adenoma and adenocarcinoma remains difficult. A distinct subclass of these tumors demonstrates microscopic papillary architecture and has a propensity to erode the petrous bone and extend intracranially. The term “aggressive papillary middle ear tumor” has recently been proposed to describe this more invasive type of middle ear tumor. These tumors cause symptoms even when microscopic in size. Although histologically benign, they have been locally destructive with frequent intracranial extension and patients may die of uncontrolled local disease. These tumors do not metastasize but there is single case report of drop metastasis to the spine in the literature. Hence this tumor must be distinguished from other benign tumors of the middle ear. These rare neoplasms constitute a distinct pathological entity and deserve wider recognition.
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series Case Reports in Otolaryngology
spelling doaj-art-fba7398d7ca4463c959d83978b44a9882025-02-03T01:31:51ZengWileyCase Reports in Otolaryngology2090-67652090-67732012-01-01201210.1155/2012/163851163851Papillary Endolymphatic Sac Tumor: A Case ReportS. Arava0R. M. Soumya1S. Chitragar2R. Safaya3S. H. Chandrashekhar4Alok Thakar5Department of Pathology, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaDepartment of Pathology, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaDepartment of Pathology, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaDepartment of Pathology, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaDepartment of Radio Diagnosis, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaDepartment of Otorhinolaryngology, All India Institute of Medical Sciences, Academic Building, Ansari Nagar, New Delhi 110 029, IndiaGlandular tumors involving the middle ear are rare and distinguishing between adenoma and adenocarcinoma remains difficult. A distinct subclass of these tumors demonstrates microscopic papillary architecture and has a propensity to erode the petrous bone and extend intracranially. The term “aggressive papillary middle ear tumor” has recently been proposed to describe this more invasive type of middle ear tumor. These tumors cause symptoms even when microscopic in size. Although histologically benign, they have been locally destructive with frequent intracranial extension and patients may die of uncontrolled local disease. These tumors do not metastasize but there is single case report of drop metastasis to the spine in the literature. Hence this tumor must be distinguished from other benign tumors of the middle ear. These rare neoplasms constitute a distinct pathological entity and deserve wider recognition.http://dx.doi.org/10.1155/2012/163851
spellingShingle S. Arava
R. M. Soumya
S. Chitragar
R. Safaya
S. H. Chandrashekhar
Alok Thakar
Papillary Endolymphatic Sac Tumor: A Case Report
Case Reports in Otolaryngology
title Papillary Endolymphatic Sac Tumor: A Case Report
title_full Papillary Endolymphatic Sac Tumor: A Case Report
title_fullStr Papillary Endolymphatic Sac Tumor: A Case Report
title_full_unstemmed Papillary Endolymphatic Sac Tumor: A Case Report
title_short Papillary Endolymphatic Sac Tumor: A Case Report
title_sort papillary endolymphatic sac tumor a case report
url http://dx.doi.org/10.1155/2012/163851
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AT schitragar papillaryendolymphaticsactumoracasereport
AT rsafaya papillaryendolymphaticsactumoracasereport
AT shchandrashekhar papillaryendolymphaticsactumoracasereport
AT alokthakar papillaryendolymphaticsactumoracasereport