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Management of a catecholamine-secreting tympanicum glomus tumour: case report

Published online by Cambridge University Press:  19 February 2008

H Kouzaki ,
J Fukui  and
T Shimizu
H Kouzaki*
Affiliation:
Department of Otolaryngology, Shiga University of Medical Science, Otsu, Shiga, Japan
J Fukui
Affiliation:
Department of Otolaryngology, Shiga University of Medical Science, Otsu, Shiga, Japan
T Shimizu
Affiliation:
Department of Otolaryngology, Shiga University of Medical Science, Otsu, Shiga, Japan
*
Address for correspondence: Dr Hideaki Kouzaki, Department of Otorhinolaryngology, Shiga University of Medical Science, Tsukinowa-cho, Seta, Otsu, 520-2192, Japan. Fax: +81 77 548 2783 E-mail: [email protected]
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Abstract

Objective:

To report the safe management and treatment of a catecholamine-secreting tympanicum glomus tumour.

Case report:

A 73-year-old women presented with a catecholamine-producing glomus tympanicum tumour, complaining of hearing impairment and left ear pain. Physical examination revealed a red, pulsating swelling in the left tympanic membrane. Computed tomography demonstrated a soft tissue mass filling the entire middle-ear cavity and a partial osteolytic lesion in the internal carotid artery. Angiographic examination revealed a densely contrasting tumour with feeding vessels from the ascending pharyngeal artery. Concentrations of serum noradrenalin and urine vanillylmandelic acid (VMA) were high. The tumour was completely resected using a potassium titanyl phosphate laser, the feeding vessels having been embolised the previous day. Concentrations of serum noradrenalin and urine VMA normalised following the operation.

Conclusion:

Pre-operative embolisation is useful in the treatment of catecholamine-secreting tympanicum glomus tumours, not only for preventing a hypertensive crisis but also for reducing bleeding. The potassium titanyl phosphate laser is useful for complete resection of the tumour.

Keywords

Glomus TumourEmbolizationKTP LaserCatecholamine
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 12 , December 2008 , pp. 1377 - 1380
Copyright
Copyright © JLO (1984) Limited 2008

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