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Table 1 Clinincal, radiographic, intraoperative findings and follow up of middle ear adenoma (19 cases) and carcinoid tumor (75 cases) reported in the literature including our case

From: Middle ear glandular neoplasms: adenoma, carcinoma or adenoma with neuroendocrine differentiation: a case series

Clinical presentation

Radiographic presentation

Intraoperative findings Tumor localisation / Middle ear with extension to:

Follow up

Hearing loss 86.3%

CT

Mastoid

18%

Mesotympanum 65%

Mean : 53 months [2-396]

Aural fullness 33%

scan

EAC

3%

Hypotympanum 53%

 

Tinnitus 27.6%

(68%)

Eustachian tube

2%

Epitympanum 49%

Recurrence rate: 12.7%

Otalgia 15%

 

Fallopian canal

2 %

Aditus ad antrum 15%

Time for recurrence: 108 months

Otorhhea 11.4%

 

Jugular foramen

2 %

Mastoid 15%

[13-516]

Facial weakness 11%

 

Tegmen antrilysis

< 1 %

Eustachian tube 7%

Local recurrence (N=8): 67%

Mean duraion of

MRI

Low to moderate signal

T1

No precise description 20%

Local + regional recurrence (N=4): 33%

symptoms: 38

(13%)

High signal

T2

 

Disease free from last treatment:

months

 

Enhancement

Contrast

 

26 months [5-60]