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CASE REPORT
Year : 2015  |  Volume : 21  |  Issue : 3  |  Page : 209-211

Malignant round cell tumor of temporal bone masquerading as chronic suppurative otitis media


Department of ENT, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India

Correspondence Address:
Madhuri Dadwal
Department of ENT, C/o Sh. O.P Dadwal, Flat 48, Block-3, Lane V, Sector-I, New Shimla - 171 009, Himachal Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.161039

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Chronic suppurative otitis media is a commonly encountered disease entity in pediatric population in India.Malignant small round cell tumors (MSRCT),are common malignant tumour seen frequently in pediatric age group, that are characterised by small, round, relatively undifferentiated cells. It is difficult to make a differential diagnosis due to their undifferentiated or primitive character. Immunohistochemical staining and chromosomal study is useful to categorize these tumors. Differential diagnosis of small round cell tumors is particularly difficult due to their undifferentiated or primitive character.Since these are undifferentiated tumors, treatment protocols are not well established. While combined treatments (surgery, chemotherapy, radiotherapy) is currently being applied, the tumor still has a poor prognosis. Since both CSOM and MSCRT are common in pediatric age group and have similar clinical presentations, possibility of MSCRT must be kept in mind while dealing with cases of CSOM in pediatric population. We present to you a rare case of malignant small round cell tumour of temporal bone in three years old child who presented with unsafe CSOM right ear for which Modified Radical mastoidectomy was done. But patient presented again after one month with fifth, sixth and seventh cranial nerve involvement presented with facial palsy and gradenigo syndrome of right side and nasal bleed from same side.


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