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ORIGINAL ARTICLE
Year : 2011  |  Volume : 17  |  Issue : 2  |  Page : 66-70

Fatal unresectable malignant neoplasms of temporomastoid region - A case series


1 Department of ENT, Head and Neck Surgery, R G Kar Medical College and Hospital, Kolkata, India
2 Department of ENT, Head and Neck Surgery, NBMC and Hospital, Siliguri, India

Correspondence Address:
Somnath Saha
Sundaram Apartments, Barat, Lake Town, Kolkata - 700089
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.91039

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Objective: To highlight the importance of early detection of the fatal and highly invasive malignant neoplasm of the temporomastoid region and to identify the criteria that signify their unresectability. We present six cases of unresectable neoplasm of the temporomastoid region, of which three cases are embryonal rhabdomyosarcoma, two cases are squamous cell carcinoma and one is a case of adenoid cystic carcinoma. Study Design: Retrospective case series. Materials and Methods: Clinical, radiographic and pathologic slides of patients with extensive temporomastoid neoplasm were studied. Results: Of the six cases, five patients died and only one patient is alive and is living with the disease. Conclusion: The neoplasms of temporomastoid region are predisposed to intracranial spread due to their close proximity to the base of skull as well as their aggressive behavior, factors which rapidly turn the tumor unresectable. Hence, it is very important for the treating surgeons to correctly diagnose these cases at an early stage and identify the unresectable neoplasm so as to avoid unnecessary surgery on these patients which only adds to their morbidity and jeopardizes the quality of life.


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