Document Detail


Management of a catecholamine-secreting tympanicum glomus tumour: case report.
MedLine Citation:
PMID:  18282335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
H Kouzaki; J Fukui; T Shimizu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-02-19
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  122     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-11-27     Completed Date:  2009-02-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1377-80     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, Shiga University of Medical Science, Otsu, Shiga, Japan. hkohzaki@belle.shiga-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Carotid Arteries / pathology,  radiography
Catecholamines / secretion*
Ear Neoplasms / secretion,  surgery*
Female
Glomus Tympanicum Tumor / secretion,  surgery*
Hearing Loss / etiology*,  radiography,  surgery
Humans
Lasers, Solid-State / therapeutic use*
Pain / etiology,  radiography,  surgery
Tomography, X-Ray Computed
Treatment Outcome
Tympanic Membrane / pathology,  radiography
Chemical
Reg. No./Substance:
0/Catecholamines

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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