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Mastoiditis secondary to metastatic lung carcinoma: case report and literature review

Published online by Cambridge University Press:  22 August 2011

P J Clamp  and
A H Jardine
P J Clamp*
Affiliation:
Department of Ear, Nose and Throat Surgery, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
A H Jardine
Affiliation:
Department of Ear, Nose and Throat Surgery, Royal United Hospital Bath NHS Trust, UK
*
Address for correspondence: Mr P J Clamp, Department of ENT Surgery, Gloucester Royal Hospital, Great Western Way, Gloucester GL1 3NN, UK E-mail: [email protected]
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Abstract

Objective:

We present a case report and systematic review of acute mastoiditis caused by metastatic lung cancer.

Case report:

A 62-year-old woman developed acute mastoiditis as a complication of otitis media. Cortical mastoidectomy revealed deposits of metastatic non-small cell lung carcinoma around the sigmoid sinus. The patient had previously received treatment for lung cancer, but was thought to be in remission.

Discussion:

A literature review confirmed that this is the first reported case of mastoiditis caused by metastatic lung cancer. Only four similar case reports were identified: two caused by breast carcinoma, one by renal cell carcinoma and one by cholangiocarcinoma. Post-mortem histopathological studies suggest that temporal bone metastasis occurs in 22 per cent of oncology cases.

Conclusion:

This is the first reported case of mastoiditis caused by metastatic lung cancer. Metastasis to the temporal bone is not uncommon, but rarely causes mastoiditis.

Keywords

MastoiditisOtitis MediaLung NeoplasmsNeoplasm MetastasisOtolaryngology
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1173 - 1175
Copyright
Copyright © JLO (1984) Limited 2011

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