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Endolymphatic sac tumours

Published online by Cambridge University Press:  08 March 2006

P. S. Richards
Affiliation:
Department of Neuroradiology, Atkinson Morley Hospital, Wimbledon, London, UK
A. G. Clifton
Affiliation:
Department of Neuroradiology, Atkinson Morley Hospital, Wimbledon, London, UK

Abstract

We present a case of a papillary tumour of the petrous bone. The established terminology for this rare neoplasm is endolymphatic sac tumour (ELST) but the true origin remains controversial. ELSTs are associated with von Hippel-Lindau disease. They are locally invasive, highly vascular and often require endovascular embolization prior to surgery. Both radiologically and histologically ELSTs are easily mistaken for other more common tumours such as paragangliomas and renal or papillary thyroid carcinoma metastases. This is important because local excision is curative.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2003

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