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Metastasis to the temporal bone, secondary to carcinoma of the bladder

Published online by Cambridge University Press:  29 June 2007

C. B. R. Saldanha ,
J. D. C. Bennett ,
J. N. G. Evans  and
H. Pambakian
C. B. R. Saldanha*
Affiliation:
Departments of ENT, Surgery and Histopathology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH.
J. D. C. Bennett
Affiliation:
Departments of ENT, Surgery and Histopathology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH.
J. N. G. Evans
Affiliation:
Departments of ENT, Surgery and Histopathology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH.
H. Pambakian
Affiliation:
Departments of ENT, Surgery and Histopathology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH.
*
Dr. C. Saldanha, BSc, M.B., B.S., Chase Farm Hospital, The Ridgeway, Enfield, Middlesex EN2 8JL.
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Abstract

An 80-year-old man was seen in the clinic with a two month history of pain, bleeding and deafness in his left ear; accompanied by a left facial palsy. Six months earlier, anaplastic carcinoma of the bladder had been diagnosed and treated with radiotherapy. On examination there was a mass in his left external auditory canal and VII, VIII, IX and X left cranial nerve palsies. Histology of a biopsy was identical with his original bladder tumour. He received a course of palliative radiotherapy but died shortly after. Post-mortem demonstrated the left temporal bone metastasis extending into the middle and posterior cranial fossae. There was no evidence of residual bladder tumour, or other primary tumour. Temporal bone metastases are probably more common than generally thought. Presentations like this may become more common as cancer therapy improves, with patients surviving longer and presenting later with metastatic disease.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 6 , June 1989 , pp. 599 - 601
Copyright
Copyright © JLO (1984) Limited 1989

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