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Computed tomography and magnetic resonance imaging findings for primary middle-ear carcinoma

Published online by Cambridge University Press:  02 May 2013

F Zhang  and
Y Sha
F Zhang
Affiliation:
Department of Radiology, Eye and ENT Hospital of Fudan University, Shanghai, China
Y Sha*
Affiliation:
Department of Radiology, Eye and ENT Hospital of Fudan University, Shanghai, China
*
Address for correspondence: Dr Yan Sha, Department of Radiology, Eye and ENT Hospital of Fudan University, 83 Fen Yang Road, Shanghai, PR China, 200031 Fax: +86 21 64377151 E-mail: [email protected]
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Abstract

Objective:

This study aimed to investigate the computed tomography and magnetic resonance imaging findings of primary middle-ear carcinoma.

Methods:

In this retrospective study of 13 patients with primary middle-ear carcinoma, we collected pre- and post-contrast magnetic resonance images for all 13 cases, high-resolution computed tomography scans for 11 cases, and conventional computed tomography scans with contrast for 2 cases.

Results:

Soft-tissue masses were mainly located in the tympanum, tympanic sinus and deep within the external auditory canal, and involved the jugular fossa (9 of 13 patients), middle cranial fossa (5/13), parotid gland (2/13) and temporomandibular joint fossa (1/13). An irregular, ‘moth-eaten’ bone destruction pattern was seen on high-resolution computed tomography images, most commonly in the eustachian tube (9/13), jugular foramen (9/13) and facial nerve canal (7/13). On non-contrast magnetic resonances images, masses were isointense or slightly hypointense on T1-weighted images, and isointense or slightly hyperintense on T2-weighted images. On post-contrast images, lesions were moderately and homogeneously enhanced in seven cases and inhomogeneously enhanced in six.

Conclusion:

High-resolution computed tomography precisely detects regions of bone destruction, whereas MRI can better assess soft-tissue tumour margins, intracranial extension and vessel patency. Eustachian tube erosion is an important characteristic of primary middle-ear carcinoma.

Keywords

Ear, MiddleEar NeoplasmsTomography, X-Ray ComputedMagnetic Resonance
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 6 , June 2013 , pp. 578 - 583
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Gurgel, RK, Karnell, LH, Hansen, MR. Middle ear cancer: a population-based study. Laryngoscope 2009;119:1913–17CrossRefGoogle ScholarPubMed
2Yeung, P, Bridger, A, Smee, R, Baldwin, M, Bridger, GP. Malignancies of the external auditory canal and temporal bone: a review. A N Z J Surg 2002;72:114–20CrossRefGoogle ScholarPubMed
3Madsen, AR, Gundgaard, MG, Hoff, CM, Maare, C, Holmboe, P, Knap, M et al. Cancer of the external auditory canal and middle ear in Denmark from 1992 to 2001. Head Neck 2008;30:1332–8CrossRefGoogle ScholarPubMed
4Cristalli, G, Manciocco, V, Pichi, B, Marucci, L, Arcangeli, G, Telera, S et al. Treatment and outcome of advanced external auditory canal and middle ear squamous cell carcinoma. J Craniofac Surg 2009;20:816–21CrossRefGoogle ScholarPubMed
5Wang, X, Wang, M. Clinical analysis of 20 cases of carcinoma of the middle ear [in Chinese]. Lin Chuang Er Bi Yan Hou Ke Za Zhi 2003;17:600–1Google ScholarPubMed
6Moody, SA, Hirsch, BE, Myers, EN. Squamous cell carcinoma of the external auditory canal: an evaluation of a staging system. Am J Otol 2000;21:582–8Google ScholarPubMed
7Gidley, PW, Roberts, DB, Sturgis, EM. Squamous cell carcinoma of the temporal bone. Laryngoscope 2010;120:1144–51CrossRefGoogle ScholarPubMed
8Golding-Wood, DG, Quiney, RE, Cheesman, AD. Carcinoma of the ear: retrospective analysis of 61 patients. J Laryngol Otol 1989;103:653–6CrossRefGoogle ScholarPubMed
9Conley, J. Cancer of the middle ear. Ann Otol Rhinol Laryngol 1965;74:555–72CrossRefGoogle ScholarPubMed
10Yin, M, Ishikawa, K, Honda, K, Arakawa, T, Harabuchi, Y, Nagabashi, T et al. Analysis of 95 cases of squamous cell carcinoma of the external and middle ear. Auris Nasus Larynx 2006;33:251–7CrossRefGoogle ScholarPubMed
11Ussmüller, J, Sanchez-Hanke, M. Histopathological studies of intratemporal growth behavior of middle ear carcinoma [in German]. Laryngorhinootologie 2000;79:21–5Google ScholarPubMed
12Paniagua Escudero, JC, de la Mano González, S, Asensio Calle, JF. Diagnosis and evaluation of head and neck paragangliomas. Computed tomography and magnetic resonance imaging [in Spanish]. Acta Otorrinolaringol Esp 2009;60(suppl 1):45–52Google ScholarPubMed
13van den Berg, R. Imaging and management of head and neck paragangliomas. Eur Radiol 2005;15:1310–18CrossRefGoogle ScholarPubMed