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A Curious Case of Crystal Deposit Disease in the Petrous Bone
Crystal deposit disease is a rare disorder with benign dense soft tissue calcium containing accumulations presenting as pseudogout or tumoral calcinosis. It rarely affects the head and neck region and even less to the petrous bone. We describe a case of para-articular tumoral calcinosis involving th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913933/ https://www.ncbi.nlm.nih.gov/pubmed/31886097 http://dx.doi.org/10.7759/cureus.6375 |
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author | De Jong, Marije Candanedo, Carlos Keidar Haran, Tal Kaufman, Michal |
author_facet | De Jong, Marije Candanedo, Carlos Keidar Haran, Tal Kaufman, Michal |
author_sort | De Jong, Marije |
collection | PubMed |
description | Crystal deposit disease is a rare disorder with benign dense soft tissue calcium containing accumulations presenting as pseudogout or tumoral calcinosis. It rarely affects the head and neck region and even less to the petrous bone. We describe a case of para-articular tumoral calcinosis involving the external auditory canal wall in close proximity to the temporomandibular joint with extension towards the middle cranial fossa floor in a 73-year-old man presenting with otalgia and progressing mixed hearing loss. Subtotal petrosectomy with obliteration of the middle ear and mastoid was done with complete removal of the lesion. We discuss the course, treatment and final pathology with possible explanations for the pathophysiology in this particular case. Although tumoral calcinosis is uncommon, this entity should be considered in the differential diagnosis when an osteogenic temporal lesion is seen on computed tomography or magnetic resonance imaging. The treatment for this benign tumor includes complete excision of the lesion in symptomatic cases. Proper evaluation including anamnesis of the family history and previous trauma as well as serology should be done. The exact etiology and classification of crystal deposit diseases require further study. |
format | Online Article Text |
id | pubmed-6913933 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-69139332019-12-29 A Curious Case of Crystal Deposit Disease in the Petrous Bone De Jong, Marije Candanedo, Carlos Keidar Haran, Tal Kaufman, Michal Cureus Otolaryngology Crystal deposit disease is a rare disorder with benign dense soft tissue calcium containing accumulations presenting as pseudogout or tumoral calcinosis. It rarely affects the head and neck region and even less to the petrous bone. We describe a case of para-articular tumoral calcinosis involving the external auditory canal wall in close proximity to the temporomandibular joint with extension towards the middle cranial fossa floor in a 73-year-old man presenting with otalgia and progressing mixed hearing loss. Subtotal petrosectomy with obliteration of the middle ear and mastoid was done with complete removal of the lesion. We discuss the course, treatment and final pathology with possible explanations for the pathophysiology in this particular case. Although tumoral calcinosis is uncommon, this entity should be considered in the differential diagnosis when an osteogenic temporal lesion is seen on computed tomography or magnetic resonance imaging. The treatment for this benign tumor includes complete excision of the lesion in symptomatic cases. Proper evaluation including anamnesis of the family history and previous trauma as well as serology should be done. The exact etiology and classification of crystal deposit diseases require further study. Cureus 2019-12-13 /pmc/articles/PMC6913933/ /pubmed/31886097 http://dx.doi.org/10.7759/cureus.6375 Text en Copyright © 2019, De Jong et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Otolaryngology De Jong, Marije Candanedo, Carlos Keidar Haran, Tal Kaufman, Michal A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title | A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title_full | A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title_fullStr | A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title_full_unstemmed | A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title_short | A Curious Case of Crystal Deposit Disease in the Petrous Bone |
title_sort | curious case of crystal deposit disease in the petrous bone |
topic | Otolaryngology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6913933/ https://www.ncbi.nlm.nih.gov/pubmed/31886097 http://dx.doi.org/10.7759/cureus.6375 |
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