Solitary metastasis of bronchogenic adenocarcinoma to the internal auditory canal: a case report.

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.

journal_name

J Korean Med Sci

authors

Chang KH,Song CE,Seo JH,Yeo SW

doi

10.3346/jkms.2009.24.6.1227

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1227-9

issue

6

eissn

1011-8934

issn

1598-6357

journal_volume

24

pub_type

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