Department of Adult and Development Age Human Pathology "Gaetano Barresi", Unit of Otorhinolaryngology, University of Messina Via Consolare Valeria 1, 98125, Messina ME, Italy.
J Craniofac Surg. 2021;32(5):e432-e434. doi: 10.1097/SCS.0000000000007252.
Neuroendocrine neoplasms of the ear pose a diagnostic challenge because clinical symptoms are no specific. Definite diagnosis is made by histopathological analysis with immunohystochemical evalutation. Therapy consists in a complete surgical resection. Controversial terminology of the neoplasm arises from the differentiation of these tumors composed of both endocrine and exocrine glands. Middle ear localization is an extremely rare presentation but less aggressive than gastrointestinal tract or lung localizations which are the most frequent. Radio-diagnostic analyses are necessary follow-up for preventing or detecting recurrence or metastasis. The authors present a case of neuroendocrine tumor of the middle ear in a young male of 37 years old who presented unilateral right hearing loss and tinnitus. A transcanal tympanoplasty was performed. There were no intraoperative complications and the postoperative period was uneventful.
耳部神经内分泌肿瘤具有诊断挑战性，因为其临床症状不具有特异性。明确的诊断需要通过组织病理学分析和免疫组织化学评估来实现。治疗方法是进行完全的手术切除。由于这些肿瘤由内分泌腺和外分泌腺组成，因此肿瘤的命名存在争议。中耳定位是一种非常罕见的表现，但比胃肠道或肺部定位（最常见）的侵袭性小。放射诊断分析是预防或检测复发或转移所必需的。作者报告了一例 37 岁年轻男性的中耳神经内分泌肿瘤，该患者表现为单侧右耳听力损失和耳鸣。进行了经耳道鼓室成形术。手术过程中没有出现并发症，术后恢复顺利。
