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Simultaneous leukaemic infiltrate and cholesteatoma in the same temporal bone

Published online by Cambridge University Press:  29 June 2007

K. G. Effat*
Affiliation:
Department of Otolaryngology, El-Sahel Teaching Hospital, Cairo, Egypt.
A. W. Naguib
Affiliation:
Department of Otolaryngology, El-Sahel Teaching Hospital, Cairo, Egypt.
*
Address for correspondence: Mr K. G. Effat, 6 Falaky Square, Cairo, Egypt.

Abstract

Leukaemic relapse in the ear is very rare. We report a case of relapse of acute lymphoblastic leukaemia in the left ear. The patient presented with an aural polyp and ipsilateral facial palsy. The temporal bone showed simultaneous leukaemic infiltrate and cholesteatoma. To our knowledge, this is the first case reported with such pathology.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

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References

Almadori, G., Del-Ninno, M., Cadoni, G., Di-Mario, A., Ottaviani, F. (1996) Facial nerve paralysis in acute otomastoiditis as presenting symptom of FAB M2 T8; 21 leukemic relapse. International Journal of Pediatric Otorhinolaryngology 36(1): 4552.CrossRefGoogle ScholarPubMed
Bujía, J., Holly, A., Antolí-Candela, F., Tapia, M. G., Kastenbauer, E. (1996) Immunobiological peculiarities of cholesteatoma in children: Quantification of epithelial proliferation by MIB1. Laryngoscope 106: 865868.CrossRefGoogle ScholarPubMed
Chole, R. A. (1993) Otolaryngology – Head and Neck Surgery. 2nd Edition, (Cummings, C. W., ed.). Mosby-Year Book, St Louis, p 2826.Google Scholar
Ferlito, A., Devaney, K. O., Rinaldo, A., Milroy, C. M., Wenig, B. M., Iurato, S., McCabe, B. F. (1997) Ear cholesteatoma versus cholesteral granuloma. Annals of Otology, Rhinology and Laryngology 106(1): 7985.Google Scholar
Gliklich, R. E., Cunningham, M. J., Eavey, R. D. (1993) The cause of aural polyps in children. Archives of Otolaryngology – Head and Neck Surgery 119: 669671.CrossRefGoogle ScholarPubMed
Hartley, C., Saeed, S. R., Lyons, T. J. (1995) Non-cholestea-tomatous suppurative otitis media: Facial nerve palsy in an immunocompromised patient. Journal of Laryngology and Otology 109: 755758.CrossRefGoogle Scholar
Millot, F., Klossek, J. M., Brizard, F., Brizard, A., Vander-marq, P., Babin, P., Guilhot, F. (1997) Recurrence of childhood acute lymphoblastic leukemia presenting as a tumor of the middle ear: a case report. Journal of Pediatric Hematology and Oncology 19(4): 351353.CrossRefGoogle ScholarPubMed
Mills, R. P., Padgham, N. D. (1991) Management of childhood cholesteatoma. Journal of Laryngology and Otology 105: 343345.CrossRefGoogle ScholarPubMed
Milroy, C. M., Slack, R. W. T., Maw, A. R., Bradfield, J. W. B. (1989) Aural polyps as predictors of underlying cholesteatoma. Journal of Clinical Pathology 42: 460465.CrossRefGoogle ScholarPubMed
Mountain, R. E., Murray, J. A. M., Quaba, A., Maynard, C. (1994) The Edinburgh facial palsy clinic: a review of three years' activity. Journal of the Royal College of Surgeons of Edinburgh 39(5): 275279.Google Scholar
Nies, B. A., Bodey, G. P., Thomas, L. B., Brecher, G., Freireich, E. J. (1965) The persistence of extramedullary leukemic infiltrates during bone marrow remission of acute leukemia. Blood 26: 133141.CrossRefGoogle ScholarPubMed
Okura, S. I., Kaga, K. (1994) Temporal bone pathology of leukemia and malignant lymphoma with middle ear effusion. Auris Nasus Larynx 21(1): 17.CrossRefGoogle ScholarPubMed
Palva, T. (1993) Cholesteatoma surgery today. Clinical Otolaryngology 18: 245252.CrossRefGoogle ScholarPubMed
Paparella, M. M., Berlinger, N. T., Oda, M., El Fiky, F. (1973) Otological manifestations of leukemia. Laryngoscope 83: 15101526.CrossRefGoogle ScholarPubMed
Poplack, D. G. (1989) Principles and Practice of Pediatric Oncology (Pizzo, P. A., Poplack, D. G., eds). J.B. Lippincott, Philadelphia, pp 323354.Google Scholar
Rivera, G. K., Pinkel, D., Simone, J. V., Hancock, M. L., Crist, W. M. (1993) Treatment of acute lymphoblastic leukemia: 30 years experience at St Judes Children's Research Hospital. New England Journal of Medicine 329: 12891295.CrossRefGoogle Scholar
Savic, D. L., Djeric, D. R. (1989) Facial paralysis in chronic suppurative otitis media. Clinical Otolaryngology 14: 515517.CrossRefGoogle ScholarPubMed
Selesnick, S. H., Patwardhan, A. (1994) Acute facial paralysis: Evaluation and early management. American Journal of Otolaryngology 15(6): 387408.CrossRefGoogle ScholarPubMed
Sharma, S. C., Banerjee, A. K. (1986) Acute otitis externa: an unusual presentation of relapse of acute lymphoblastic leukaemia. Indian Journal of Pathology and Microbiology 29(3): 215217.Google ScholarPubMed
Tay, H. L., Hussain, S. S. M. (1997) The management of aural polyps. Journal of Laryngology and Otology 111: 212214.CrossRefGoogle ScholarPubMed