Hostname: page-component-848d4c4894-ndmmz Total loading time: 0 Render date: 2024-05-21T22:29:57.480Z Has data issue: false hasContentIssue false

Vanishing tumour of the internal auditory meatus

Published online by Cambridge University Press:  12 August 2008

A Jain*
Affiliation:
Radiology Department, Ayr Hospital, Scotland, UK
M Ablett
Affiliation:
Radiology Department, Ayr Hospital, Scotland, UK
P Wardrop
Affiliation:
ENT Department, Ayr Hospital, Scotland, UK
*
Address for correspondence: Dr Abhishek Jain, 18 Rousay Wynd, Kilmarnock KA3 2GP, Scotland, UK E-mail: abhii21@yahoo.com

Abstract

Objectives:

We report a very rare case of prostatic metastasis in the internal auditory meatus, which disappeared with treatment.

Case report:

An elderly man presented with a history of hearing loss, dizzy spells and, more recently, facial palsy. He also complained simultaneously of urological symptoms, which on investigation revealed advanced, metastatic prostate cancer. Radiological investigation, in the form of magnetic resonance imaging, revealed an internal auditory meatus mass which resembled an acoustic neuroma. The patient was treated with hormone injections.

Tumours of the internal auditory meatus and cerebellopontine angle are mostly primary. Rarely, metastatic deposits have been described in this region, from squamous cell carcinoma, malignant melanoma, malignant parotid oncocytoma, renal carcinoma, and lung and thyroid primaries.

Conclusion:

To our knowledge, this is a very rare report in the world literature of prostatic metastasis to the internal auditory meatus. We discuss the common presenting features, investigations and treatment options for metastatic prostatic tumours of the internal auditory meatus and cerebellopontine angle.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Brackmann, DE, Bartels, LJ. Rare tumours of the cerebellopontine angle. Otolaryngol Head Neck Surg 1980;88:555–9CrossRefGoogle ScholarPubMed
2 Hill, BA, Kohut, RI. Metastatic adenocarcinoma of the temporal bone. Arch Otolaryngol 1976;102:568–71CrossRefGoogle ScholarPubMed
3 Sidman, JD, Carrasco, VN, Whaley, RA, Pillsbury, HC. Gadolinium – the new gold standard for diagnosing cerebellopontine angle tumours. Arch Otolaryngol Head Neck Surg 1989;115:1244–7CrossRefGoogle Scholar
4 Arriaga, MA, Lo, WW, Brackmann, DE. Metastatic melanoma to the cerebellopontine angle. Arch Otolaryngol Head Neck Surg 1995;121:1052–6CrossRefGoogle ScholarPubMed
5 Maiuri, F, Esposito, F, Del Basso De Caro, M, Tortora, F. Dural cerebellopontine angle metastasis from malignant parotid oncocytoma. J Neurooncol 2003;61:6972CrossRefGoogle ScholarPubMed
6 Panarese, A, Turner, J, Fagan, PA. Renal carcinoma metastasis: an unusual cerebellopontine angle tumour. Otolaryngol Head Neck Surg 2002;127:245–7CrossRefGoogle Scholar
7 Ueyama, H, Kumamoto, T, Narusako, T, Fujimoto, S, Goda, M, Isono, M et al. Solitary metastasis of prostatic cancer to the internal auditory canal. Clin Neurol Neurosurg 2003;105:180–2CrossRefGoogle Scholar
8 Carroll, RS, Zhang, JP, Black, PMcL. Hormone receptors in vestibular schwannomas. Acta Neurochir 1997;139:188–93CrossRefGoogle ScholarPubMed
9 Cafer, S, Bayramoglu, I, Uzum, N, Yilmaz, M, Memis, L, Uygur, K. Expression and clinical significance of Ki-67, oestrogen and progesterone receptors in acoustic neuromas. J Laryngol Otol 2008;122:125–7CrossRefGoogle Scholar
10 Filipo, R, Petrangeli, E, Monini, S, Ortolani, F, Gulino, A, Barbara, M et al. Expression of steroid receptors in acoustic neuroma. Clin Otolaryngol 1995;20:413–17CrossRefGoogle ScholarPubMed