Journal of Otology & RhinologyISSN: 2324-8785

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Case Report, J Otol Rhinol Vol: 1 Issue: 3

Primary Diffuse Large B-Cell Lymphoma Presenting as Chronic Otomastoiditis

Jason M. Roberts1, Judd Fastenberg1*, Elizabeth Redd2 and David Foyt1
1Department of Otolaryngology, Head and Neck Surgery, Wayne State University School of Medicine, USA
2Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Head and Neck Surgery, Wayne State University School of Medicine, USA
Corresponding author : Judd Fastenberg, BA
Division of Otolaryngology-Head and Neck Surgery, Albany Medical Center, 50 New Scotland Avenue, Albany, NY 12208, USA
Tel: 518-262-5575; Fax: 516-524-1737
E-mail: [email protected]
Received: August 13, 2012 Accepted: November 09, 2012 Published: November 12, 2012
Citation: Roberts JM, Fastenberg J, Redd E, Foyt D (2012) Primary Diffuse Large B-Cell Lymphoma Presenting as Chronic Otomastoiditis. J Otol Rhinol 1:3. doi:10.4172/2324-8785.1000107

Abstract

Primary Diffuse Large B-Cell Lymphoma Presenting as Chronic Otomastoiditis

Primary presentation of lymphoma of the middle ear is rare, with only 18 cases being reported in the literature. Diagnosis of middle ear and mastoid tumors may be delayed because symptoms mimic more common otologic conditions. Only after clinical deteriorationdo patients often undergo further workup and evaluation that iscritical to definitive diagnosis. We describe a case of diffuse largeB-cell lymphoma presenting as unresolved chronic otitis media and mastoiditis. Isolated presentation of primary lymphoma in the middle ear and mastoid without associated cranial nerve deficits or vestibular symptoms has rarely been described previously. Even without advanced symptomatology, it is imperative to exclude the possibility of temporal bone malignancy through proper neurotologic examination and appropriate imaging.

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