Middle Ear Carcinoid Tumour a Diagnostic Dilemma.

Q4 Medicine Neuropsychiatrie de l''Enfance et de l''Adolescence Pub Date : 2023-12-01 Epub Date: 2023-07-14 DOI:10.1007/s12070-023-04035-2
M Nabeel, Birudavolu Vikyath Reddy, P Sushmitha, S Sathish Kumar
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Abstract

Carcinoid tumours are neuroendocrine tumours associated with gastrointestinal tract, lungs and rarely seen in middle ear. A 29 year old male presented with nonspecific symptoms of blocking sensation, reduced hearing and tinnitus in the right ear. Otoscopy showed congestion of right tympanic membrane with bulge in anterior quadrant with no blanching on siegalization. Audiometry showing conductive hearing loss. CT scan showing mildly enhancing mass in the right middle ear cavity. Complete excision was done and Histopathological studied showed features favouring adenoma and immunohistochemistry showed positive staining of Pan Cytokeratin, Synaptophysis and Chromogranin A, with Ki-67 01% suggestive of carcinoid tumour. Patient underwent PET Scaning post operatively to rule out carcinoid tumour elsewhere in the body. Patient is on follow-up every month to look for any recurrence.

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中耳类癌:诊断困境。
类癌是与胃肠道、肺部相关的神经内分泌肿瘤,中耳少见。一个29岁的男性表现为非特异性症状的阻塞感,听力下降和耳鸣在右耳。耳镜检查显示右鼓膜充血,前象限鼓包,耳镜检查未见白化。听力测定显示传导性听力损失。CT扫描显示右中耳腔肿块轻度强化。完全切除,组织病理学检查显示腺瘤特征,免疫组织化学显示Pan细胞角蛋白,突触和嗜铬粒蛋白A阳性染色,Ki-67 01%提示类癌。患者术后接受PET扫描以排除身体其他部位的类癌肿瘤。每个月对患者进行随访,观察是否有复发。
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来源期刊
Neuropsychiatrie de l''Enfance et de l''Adolescence
Neuropsychiatrie de l''Enfance et de l''Adolescence Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.60
自引率
0.00%
发文量
61
期刊介绍: Organ of the Société française de psychiatrie de enfant et de adolescent, Neuropsychiatrie de enfance et de adolescence tackles all fields of child-adolescent psychiatry and offers a link between field and clinical work. As a reference and training tool for students and practitioners, the journal publishes original papers in child psychiatry as well as book reviews and conference reports. Each issue also offers a calendar of the main events dealing with the speciality.
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Editorial Board Agenda Editorial Board Quels soins pédopsychiatriques proposer aux enfants de parents présentant une pathologie psychiatrique ? Réflexions à partir d’une situation clinique Impact des attentats du 13 novembre 2015 sur les enfants des civils exposés et sur les relations parents–enfants
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