![]() The patient initially presented with ear discharge and aural polyp which did not improve with medical management. We report a case of secondary acquired cholesteatoma in a six-year-old girl after five years of her LCH treatment. Only a few reported cases of primary or secondary cholesteatoma have been reported among patients treated for temporal bone LCH. Cholesteatoma is a congenital or acquired condition and is categorized into primary and secondary cholesteatomas. It is most commonly seen in young adults and children. Langerhans cell histiocytosis (LCH) is a multi-faceted disease defined by the accumulation of dendritic cells in various organs with characteristics similar to the epidermal Langerhans cells and can affect any organ of the body. Capillary haemangioma of mastoid antrum extending to middle ear and external auditory canal requires surgical excision as preferred treatment modality, pre-operative imaging guide us to choose the preferred surgical approaches. There is no recurrence noted after 6 months of follow up and hearing improvement noticed. Excision of the mass was done by canal wall down mastoidectomy and also type IIIc tympanoplasty performed in same sitting. Contrast Enhanced MRI showed a long polypoidal heterogeneously but strong enhancing T2 and STIR hyperintense lesion within mastoid antrum extending into middle ear cavity and external auditory canal forming an aural polyp. HRCT temporal bone revealed a single cavity with soft tissue density content in right mastoid cavity which was extending into right middle ear and external ear. Patient had a history of cortical mastoidectomy 2 years back for the similar problem. The otoscopic examination of right ear showed a pinkish polypoidal mass at the external auditory canal and tympanic membrane could not be visualized. ![]() 40 years old female presented with diminished hearing and mass in right ear cavity for last 3 years. Histopathological report helps us to get definitive diagnosis. Due to infrequent incidence but multiple overlapping clinical and radiological features amongst some common middle ear pathologies this benign vascular tumour often can be misdiagnosed. SLIDESHOW Skin Cancer Symptoms, Types, Images See SlideshowĬauses of polyps very depending on their location in the body.Capillary hemangioma involving external auditory canal, middle ear and mastoid cavity is a very rare entity. Decreased ability to change vocal pitch.Feeling as if a lump is stuck in the throat.Rough, scratchy, or harsh-sounding voice.Vaginal discharge with foul odor (caused by infection).Feelings of fullness or pressure in the face.Pain or discomfort in the lower abdomen.When symptoms of polyps occur, they may include the signs detailed in the table below. Symptoms of polyps depend on their location. Polyps in the throat and vocal folds (larynx) may be diagnosed with an endoscopy. A special type of X-ray (hystosalpingography).A physical exam of the sinuses with a special tool that has a light on itĬervical polyps are usually discovered during a routine pelvic exam and Pap smear.Barium X-ray test, such as an upper GI (gastrointestinal) seriesĮar (aural) polyps are diagnosed with a physical exam of the ear canal and middle ear using an otoscope or microscope.Tests used to diagnose stomach (gastric) polyps include: Computerized tomography (CT) colonography (also known as virtual colonoscopy).Polyps do show up on ultrasound, though it is not usually the primary screening method for polyps.Ĭolon polyps are often diagnosed during screening to check for colon or rectal cancer. ![]() Polyps are diagnosed with physical examination of the affected area, and different types of tests may be used depending on where the polyps are located in the body.Ī tissue sample (biopsy) may be taken of a polyp to determine if it is cancerous. Polyps do show up on ultrasound, though it is not usually the primary screening method for polyps. ![]() A tissue sample (biopsy) may be taken of a polyp to determine if it is cancerous. Polyps are diagnosed with physical examination of the affected area, and different types of tests may be used depending on where the polyps are located in the body. ![]()
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