Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-15T03:25:54.717Z Has data issue: false hasContentIssue false
  • English
  • Français

Endolymphatic sac tumour: case report and literature review

Published online by Cambridge University Press:  28 February 2013

J S Virk ,
P S Randhawa  and
S R Saeed
J S Virk*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
P S Randhawa
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University College London Hospitals NHS Trust, UK
S R Saeed
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, University College London Hospitals NHS Trust, UK
*
Address for correspondence: Mr J S Virk, Department of Otolaryngology and Head and Neck Surgery, Charing Cross Hospital, Imperial College Healthcare, Fulham Palace Rd, London W6 8RF, UK Fax: + 44 (0)208 8693098 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To increase awareness of the presentation, diagnostic difficulties and management of endolymphatic sac tumours.

Case reports:

A 79-year-old man with a 6-month history of unilateral hearing loss, tinnitus and vertigo, who was suspected to have an endolymphatic sac tumour on imaging, underwent successful transmastoid-translabyrinthine resection. A 53-year-old man with unilateral hearing loss and pulsatile tinnitus underwent subtotal resection of a suspected paraganglioma, which was identified histologically. Due to interval growth, gamma knife radiosurgery was performed followed by subtotal petrosectomy, at which juncture an endolymphatic sac tumour was reported.

Methods:

A review of the world literature was carried out using Medline, which identified less than 150 reported cases of endolymphatic sac tumour.

Conclusion:

Endolymphatic sac tumours are rare lesions of the petrous temporal bone. Although benign, they can be locally destructive. At present, there is no consensus regarding the management and long-term follow up of these tumours. Surgical resection is usually favoured, although treatment with radiotherapy and gamma knife surgery has also been reported.

Keywords

Endolymphatic SacParagangliomaAdenocarcinomaTemporal Bone
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 4 , April 2013 , pp. 408 - 410
Copyright
Copyright © JLO (1984) Limited 2013

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.)

Footnotes

Oral presentation, Semon Club, Guy's and St Thomas' Hospital, 15 May 2012, London, UK.

References

1Yilmaz, I, Bolat, F, Demirhan, B, Aydin, V, Ozluoglu, LN.Endolymphatic sac papillary tumour: a case report and review. Auris Nasus Larynx 2008;35:276–81CrossRefGoogle ScholarPubMed
2Heffner, DK.Low-grade adenocarcinoma of probable endolymphatic sac origin: a clinic-pathologic study of 20 cases. Cancer 1989;64:2292–3023.0.CO;2-#>CrossRefGoogle Scholar
3Doherty, JK, Yong, M, Maceri, D.Endolymphatic sac tumour: a report of 3 cases and discussion of management. Ear Nose Throat J 2007;86:30–5CrossRefGoogle ScholarPubMed
4Timmer, FC, Neeskens, LJ, van de Hoogen, FJ, Slootweg, PJ, Dunnebier, EA, Pauw, BH et al. Endolymphatic sac tumors: clinical outcome and management in a series of 9 cases. Otol Neurotol 2011;32:680–5CrossRefGoogle Scholar
5Devaney, KO, Ferlito, A, Rinadlo, A.Endolymphatic sac tumour (low-grade papillary adenocarcinoma) of the temporal bone. Acta Otolaryngol 2003;123:1022–6CrossRefGoogle ScholarPubMed
6Schick, B, Kronsbein, H, Kahle, G, Prescher, A, Draf, W.Papillary tumour of the temporal bone. Skull Base 2001;11:25–33CrossRefGoogle ScholarPubMed
7Cheng, X, Qin, S, Wang, X, Li, P, Shrestha, B, Wang, W.Gamma knife treatment of an endolymphatic sac tumor: unique features of a case and review of the literature. Neurol India 2011;59:608–11Google ScholarPubMed
8Ferreira, MA, Feiz-Erfan, I, Zabramski, M, Spetzler, RF, Coons, SW, Preul, MC.Endolymphatic sac tumour: unique features of two cases and review of the literature. Acta Neurochir (Wien) 2002;144:1047–53CrossRefGoogle ScholarPubMed
9Balasubramaniam, S, Deshpande, RB, Misra, BK.Gamma knife radiosurgery in jugular foramen endolymphatic sac adenocarcinoma. J Clin Neurosci 2009;16:710–11CrossRefGoogle ScholarPubMed