급성 특발성 안면신경마비로 오인된 측두골 선양낭성암종 1예

• 영문명: A case of adenoid cystic carcinoma in the temporal bone, misdiagnosed as acute idiopathic facial paralysis
• 발행기관: 대한두개저학회
• 저자명: 김효정 박소희 전민채 이동희
• 간행물 정보: 『대한두개저학회지』제17권 제2호, 115~121쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.09.30

영문 초록

Adenoid cystic carcinoma (AdCC) constitutes approximately 1% of head and neck tumors. The external auditory canal is the most prevalent site in the otologic area but AdCC developed in a mastoid is extremely rare and seems to be misdiagnosed as benign inflammatory lesion. Because of its neurotropism, it may involve adjacent nerve early and facial nerve paralysis can develop in the early stage. But its diagnosis, especially in the early stage, is often challenging. Our case report describes a case of a patient with advanced unresectable AdCC in right mastoid with persistent peripheral facial paralysis, which was initially diagnosed as idiopathic Bell’s palsy. Clinicians should be vigilant when treating patients with persistent facial paralysis, especially when imaging studies reveals a lesion around facial nerve in the mastoid, because this may indicate AdCC. This case highlights the diagnostic basis, treatment, and outcomes for this case to improve the understanding of AdCC in the mastoid.

목차

INTRODUCTION

CASE REPORT

DISCUSSION

CONFLICT OF INTEREST

REFERENCES

키워드

Adenoid cystic carcinoma Temporal bone Facial paralysis Bell’s palsy