Skip to main content
PMC home page
Skull Base Surgery logoLink to Skull Base Surgery
. 1998;8(1):45–50. doi: 10.1055/s-2008-1058590

Fibroinflammatory Pseudotumor of the Temporal Bone

Matthias P Schönermark, Peter Issing, Timo Stöver, Sonja Ruh, Thomas Lenarz
PMCID: PMC1656655  PMID: 17171042

Abstract

Chronic inflammatory tumor-like lesions of the temporal bone represent a difficult clinical task for the skull base surgeon. Their osteolytic aggressiveness endangers vital structures and may not be controlled by surgery alone. We present the course of four cases of fibroinflammatory pseudotumor of the temporal bone which were treated by a combined approach of skull base surgery and chemotherapy. Three patients were deafened by the disease and underwent several operafive measures. One patient was lost, most likely due to an arrosive bleeding of the internal carotid artery. The chronic and recurrent process could only be stopped by petrosectomy, followed by antiproliferative chemotherapy. Two patients were subsequently provided with a cochlear implant. The differential diagnosis, diagnostic, and operative options of this rare but severe disease are discussed.

Full text

PDF
47

Images in this article

46Figure 1
on p.46
46Figure 2
on p.46
47Figure 3
on p.47
47Figure 4
on p.47
48Figure 5
on p.48
48Figure 6
on p.48
48Figure 7
on p.48

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aijaz F., Salam A. U., Muzaffar S., Akbani Y., Hasan S. H. Inflammatory pseudotumour of the trachea: report of a case in an eight-year-old child. J Laryngol Otol. 1994 Jul;108(7):613–616. doi: 10.1017/s0022215100127604. [DOI] [PubMed] [Google Scholar]
  2. Benton N. C., Korol H. W., Smyth L. T., Jr Plasma cell granuloma of the middle ear and mastoid. Case report. Ann Otol Rhinol Laryngol. 1992 Jan;101(1):92–94. doi: 10.1177/000348949210100120. [DOI] [PubMed] [Google Scholar]
  3. Cross D. L., Switter D. J. Fibroinflammatory pseudotumor of the submandibular gland. Head Neck. 1996 Sep-Oct;18(5):465–468. doi: 10.1002/(SICI)1097-0347(199609/10)18:5<465::AID-HED11>3.0.CO;2-1. [DOI] [PubMed] [Google Scholar]
  4. Davis R. E., Warnke R. A., Dorfman R. F. Inflammatory pseudotumor of lymph nodes. Additional observations and evidence for an inflammatory etiology. Am J Surg Pathol. 1991 Aug;15(8):744–756. doi: 10.1097/00000478-199108000-00004. [DOI] [PubMed] [Google Scholar]
  5. Donner L. R., Trompler R. A., White R. R., 4th Progression of inflammatory myofibroblastic tumor (inflammatory pseudotumor) of soft tissue into sarcoma after several recurrences. Hum Pathol. 1996 Oct;27(10):1095–1098. doi: 10.1016/s0046-8177(96)90291-9. [DOI] [PubMed] [Google Scholar]
  6. Facchetti F., De Wolf Peeters C., De Wever I., Frizzera G. Inflammatory pseudotumor of lymph nodes. Immunohistochemical evidence for its fibrohistiocytic nature. Am J Pathol. 1990 Aug;137(2):281–289. [PMC free article] [PubMed] [Google Scholar]
  7. Gacek R. R. Evaluation and management of temporal bone arachnoid granulations. Arch Otolaryngol Head Neck Surg. 1992 Mar;118(3):327–332. doi: 10.1001/archotol.1992.01880030119024. [DOI] [PubMed] [Google Scholar]
  8. Henick D. H., Feghali J. G. Bilateral cholesterol granuloma: an unusual presentation as an intradural mass. J Otolaryngol. 1994 Feb;23(1):15–18. [PubMed] [Google Scholar]
  9. Holliday R. A. Inflammatory diseases of the temporal bone: evaluation with CT and MR. Semin Ultrasound CT MR. 1989 Jun;10(3):213–235. [PubMed] [Google Scholar]
  10. Hurt M. A., Santa Cruz D. J. Cutaneous inflammatory pseudotumor. Lesions resembling "inflammatory pseudotumors" or "plasma cell granulomas" of extracutaneous sites. Am J Surg Pathol. 1990 Aug;14(8):764–773. [PubMed] [Google Scholar]
  11. Kadoya C., Soejima T., Yamada H., Yokota A. Pachymeningoencephalitis: case report. Neurosurgery. 1993 Jul;33(1):131–134. doi: 10.1227/00006123-199307000-00021. [DOI] [PubMed] [Google Scholar]
  12. Kletzker G. R., Smith P. G., McIntire L. D., Leonetti J. P. Presentation and management of uncommon lesions of the middle ear. Am J Otol. 1995 Sep;16(5):634–642. [PubMed] [Google Scholar]
  13. Laurenzo J. F., Graham S. M. Tumefactive fibroinflammatory lesion of the head and neck: a management strategy. Ear Nose Throat J. 1995 Feb;74(2):87-91, 94. [PubMed] [Google Scholar]
  14. Liu F. F., Keane T. J., Davidson J. Primary carcinoma involving the petrous temporal bone. Head Neck. 1993 Jan-Feb;15(1):39–43. doi: 10.1002/hed.2880150109. [DOI] [PubMed] [Google Scholar]
  15. Mark A. S. Contrast-enhanced magnetic resonance imaging of the temporal bone. Neuroimaging Clin N Am. 1994 Feb;4(1):117–131. [PubMed] [Google Scholar]
  16. Meininger G. R., Pollice P., Niparko J. K. Imaging quiz case 2. Chronic osteomyelitis of the skull base (OSB). Arch Otolaryngol Head Neck Surg. 1997 Mar;123(3):349, 351-2. [PubMed] [Google Scholar]
  17. Moran C. A., Suster S., Abbondanzo S. L. Inflammatory pseudotumor of lymph nodes: a study of 25 cases with emphasis on morphological heterogeneity. Hum Pathol. 1997 Mar;28(3):332–338. doi: 10.1016/s0046-8177(97)90132-5. [DOI] [PubMed] [Google Scholar]
  18. Nam B. H., Rha K. S., Yoo J. Y., Park C. I. Plasma cell granuloma of the temporal bone: a case report. Head Neck. 1994 Sep-Oct;16(5):457–459. doi: 10.1002/hed.2880160512. [DOI] [PubMed] [Google Scholar]
  19. Pettinato G., Manivel J. C., De Rosa N., Dehner L. P. Inflammatory myofibroblastic tumor (plasma cell granuloma). Clinicopathologic study of 20 cases with immunohistochemical and ultrastructural observations. Am J Clin Pathol. 1990 Nov;94(5):538–546. doi: 10.1093/ajcp/94.5.538. [DOI] [PubMed] [Google Scholar]
  20. Prichard A. J., Colloby P., Barton R. P., Heaton J. M. Tumefactive fibroinflammatory lesions of the head and neck. J Laryngol Otol. 1990 Oct;104(10):797–800. doi: 10.1017/s0022215100113921. [DOI] [PubMed] [Google Scholar]
  21. Said H., Razi Hadi A., Akmal S. N., Lokman S. Tumefactive fibroinflammatory lesion of the head and neck. J Laryngol Otol. 1988 Nov;102(11):1064–1067. doi: 10.1017/s0022215100107297. [DOI] [PubMed] [Google Scholar]
  22. Storck M., Liewald F., Heymer B., Dienemann H., Sunder-Plassmann L. Inflammatorische Pseudotumoren der Lunge und Trachea. Zentralbl Chir. 1995;120(8):650–656. [PubMed] [Google Scholar]
  23. Wanifuchi N., Ishizuka Y., Yabe T. A case of eosinophilic granuloma in the temporal bone. Auris Nasus Larynx. 1991;18(1):17–26. doi: 10.1016/s0385-8146(12)80246-x. [DOI] [PubMed] [Google Scholar]
  24. Watters G. W., Brookes G. B. Chondrosarcoma of the temporal bone. Clin Otolaryngol Allied Sci. 1995 Feb;20(1):53–58. doi: 10.1111/j.1365-2273.1995.tb00012.x. [DOI] [PubMed] [Google Scholar]
  25. Williams S. B., Foss R. D., Ellis G. L. Inflammatory pseudotumors of the major salivary glands. Clinicopathologic and immunohistochemical analysis of six cases. Am J Surg Pathol. 1992 Sep;16(9):896–902. doi: 10.1097/00000478-199209000-00008. [DOI] [PubMed] [Google Scholar]
  26. Yoon T. H., Paparella M. M., Schachern P. A. Systemic vasculitis: a temporal bone histopathologic study. Laryngoscope. 1989 Jun;99(6 Pt 1):600–609. doi: 10.1288/00005537-198906000-00007. [DOI] [PubMed] [Google Scholar]

Articles from Skull base surgery are provided here courtesy of Thieme Medical Publishers

RESOURCES