Solitary Metastasis of Bronchogenic Adenocarcinoma to the Internal Auditory Canal: A Case Report.
10.3346/jkms.2009.24.6.1227
- Author:
Ki Hong CHANG
1
;
Chang Eun SONG
;
Jae Hyun SEO
;
Sang Won YEO
Author Information
1. Department of Otolaryngology-HNS, Collage of Medicine, The Catholic University of Korea, Seoul, Korea. khchang@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Neoplasm Metastasis;
Internal Auditory Canal;
Adenocarcinoma;
Lung Neoplasms
- MeSH:
Adenocarcinoma/*pathology/surgery;
Ear Neoplasms/*secondary/surgery;
Fatal Outcome;
Humans;
Lung Neoplasms/*pathology;
Male;
Middle Aged
- From:Journal of Korean Medical Science
2009;24(6):1227-1229
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a patient with an isolated metastasis to the internal auditory canal (IAC) of bronchogenic adenocarcinoma. A 58-yr-old man who had received 6-cycle of chemotherapy under diagnosis of non-small cell lung carcinoma (T4N2M0) two years ago was referred to our department with vertigo, right-sided facial paralysis and right-sided hearing loss. A provisional diagnosis of vestibular schwannoma or meningioma involving right IAC was made from magnetic resonance imaging. The patient underwent a translabyrinthine removal of the tumor. Histopathological study of the resected lesion showed a poorly differentiated adenocarcinoma compatible with bronchogenic origin. The patient died 9 months after surgery from extensive brain metastasis despite postoperative radiation therapy. In patients with a previous history of treatment of malignancy elsewhere in the body, the possibility of IAC metastasis must be considered when an IAC lesion is detected.
