Marcelissen T A T, de Bondt R B J, Lammens M, Manni J J
Department of Otolaryngology and Head and Neck Surgery, University Hospital Maastricht, P.O. Box 5800, 6202 AZ, Maastricht, The Netherlands.
Eur Arch Otorhinolaryngol. 2008 Jul;265(7):843-6. doi: 10.1007/s00405-007-0531-6. Epub 2008 Jan 3.
We report an extremely rare case of a secretory meningioma primarily involving the temporal bone. A 56-year old female patient presented to us with a history of a chronic otitis media and unilateral hearing loss. Diagnostic investigations revealed a tumor arising from the temporal bone without signs of intracranial involvement. Histopathological examination showed a meningioma of the secretory type. The tumor was partially resected and serial imaging at follow-up revealed no extension of the tumor. No new symptoms developed 1 year after surgery. Secretory meningioma is a rare meningioma subtype and extracranial presentation in the temporal bone is very unusual. We present the first case of a primary temporal bone secretory meningioma in the otorhinolaryngological literature. As radical as possible surgical excision with serial imaging at follow-up is recommended.
我们报告了一例极为罕见的主要累及颞骨的分泌型脑膜瘤病例。一名56岁女性患者因慢性中耳炎和单侧听力损失病史前来就诊。诊断性检查发现颞骨有肿瘤，无颅内受累迹象。组织病理学检查显示为分泌型脑膜瘤。肿瘤部分切除，随访期间的系列影像学检查显示肿瘤无扩展。术后1年未出现新症状。分泌型脑膜瘤是一种罕见的脑膜瘤亚型，在颞骨的颅外表现非常罕见。我们在耳鼻咽喉科文献中首次报道了原发性颞骨分泌型脑膜瘤病例。建议尽可能进行根治性手术切除，并在随访时进行系列影像学检查。
