Carcinoma of the tympanic membrane: A case report of an interesting and unusual lesion.

Primary tympanic membrane squamous cell carcinomas are exceedingly rare. We present a case of tympanic membrane squamous cell carcinoma in a 54-year-old female that infiltrated the full thickness of the temporal bone leading to intracranial extension and dural involvement. The diagnosis was suspecte...

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Published in:Canadian Journal of Pathology Vol. 16; no. 3; pp. 29 - 35
Main Authors: Flynn, Jayne, Ndikumana, Robyn, Ken Kao, Kirby, Simon
Format: case study diagnostic images pictorial Journal Article
Published: Canadian Association of Pathologists Aug2024
Online Access:View this record in EBSCOhost
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      dt: Aug2024
      vid: 16
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      pub: Canadian Association of Pathologists
      place: Kingston, Ontario
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        atl: Carcinoma of the tympanic membrane: A case report of an interesting and unusual lesion.
      aug:
        au:
          Flynn, Jayne
          Ndikumana, Robyn
          Ken Kao
          Kirby, Simon
        affil: Memorial University of Newfoundland, St. John’s, NL, Canada.
      sug:
        subj:
          Ear Neoplasms Diagnosis
          Squamous Cell Carcinoma of Head and Neck Diagnosis
          Tympanic Membrane Pathology
          Ear Neoplasms Surgery
          Squamous Cell Carcinoma of Head and Neck Surgery
          Tympanic Membrane Surgery
          Female
          Middle Age
          Rare Diseases
          Temporal Bone Pathology
          Biopsy
          Staining and Labeling
          Microscopy
          Immunohistochemistry
          Tumor Markers, Biological
          Fibrosis Etiology
          Tomography, X-Ray Computed
          Magnetic Resonance Imaging
          Neoplasm Staging
          Dissection
          Temporal Bone Surgery
          Temporomandibular Joint Surgery
          Surgical Flaps
          Middle Aged: 45-64 years
          Female
      ab:
        Primary tympanic membrane squamous cell carcinomas are exceedingly rare. We present a case of tympanic membrane squamous cell carcinoma in a 54-year-old female that infiltrated the full thickness of the temporal bone leading to intracranial extension and dural involvement. The diagnosis was suspected on initial histology and supported by microscopy and ancillary immunohistochemistry including diffusely positive nuclear PLAG1 positivity. Diagnosis of tympanic membrane squamous cell carcinoma is extremely important as surgical excision is the mainstay of treatment given the unknown malignant potential. Histology, microscopy, and IHC provide definitive diagnosis while magnetic resonance imaging can determine extent of spread.
        Les cas de carcinome épidermoïde primitif de la membrane tympanique sont extrêmement rares. Nous présentons un cas, chez une femme de 54 ans, de carcinome épidermoïde de la membrane tympanique qui a infiltré toute l’épaisseur de l’os temporal, entraînant une extension intracrânienne et une atteinte durale. Les caractéristiques histologiques initiales ont amené à soupçonner ce diagnostic, qui a été confirmé par examen microscopique et analyse immunohistochimique connexe, y compris par une expression nucléaire positive et diffuse de la protéine PLAG1. Poser le diagnostic de carcinome épidermoïde de la membrane tympanique est extrêmement important, car l’excision chirurgicale est la pierre angulaire du traitement, étant donné le potentiel malin inconnu. Les analyses histologique, microscopique et par IHC ont permis de poser un diagnostic définitif, tandis que l’imagerie par résonance magnétique a permis de déterminer l’étendue de la propagation.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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