Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Pathology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
J Int Adv Otol. 2021 Jul;17(4):372-375. doi: 10.5152/iao.2021.9247.
Middle ear (ME) benign tumors are rare, and among them is meningioma. An ME meningioma might be isolated or merely a lateral extension of a CPA meningioma. We report a case with presentation of ME effusion followed by the appearance of an aural polyp after repeated myringotomies. Computed tomography (CT) revealed a benign-looking ME and mastoid mass. After debulking and biopsy, it turned out to be a meningioma. However, when MRI was performed, a large CPA meningioma was detected. ME masses are rare; however, they might be encountered, and CT must be performed followed by biopsy or total removal. In case of detection of a tumor with probable intracranial connection as meningioma, an MRI should be performed to exclude intracranial extension.
中耳(ME)良性肿瘤较为罕见,其中包括脑膜瘤。ME 脑膜瘤可能是孤立的,也可能是颅后窝(CPA)脑膜瘤的外侧延伸。我们报告了一例 ME 积液的表现,随后在反复鼓膜切开术后出现耳息肉。计算机断层扫描(CT)显示 ME 和乳突区良性肿块。肿块切除和活检后,结果为脑膜瘤。然而,当进行 MRI 检查时,发现了一个大的 CPA 脑膜瘤。ME 肿块较为罕见,但也可能会遇到,必须先进行 CT 检查,然后进行活检或全部切除。如果发现可能与颅内相连的肿瘤,如脑膜瘤,应进行 MRI 检查以排除颅内延伸。