Misdiagnosis and Missed Diagnosis Analysis and Treatment Experience in 12 Patients with Glomus Tympanicum Tumor
SHAO Yong-liang
ZHOU Yong-qing
LI Xiao-ming
LI Zhen
MIAO Yu-hua
GAO Chun-mei
Abstract：Objective To analyze the clinical characteristics and treatment methods of glomus tympanicum tumor, in order to reduce the misdiagnosis and missed diagnosis rates. Methods Clinical data of 12 cases of glomus tympanicum tumor in my department were retrospectively analyzed. Results All the 12 cases were single ear disease, 10 cases of hearing loss, 7 cases of pulsatile tinnitus, 5 cases of ear canal mass, 4 cases of ear canal secretion, 1 case of ear canal continual bleeding. 11 cases were preoperatively misdiagnosed as middle ear cholesteatoma in 5 cases (41. 7%), external auditory canal chol-esteatoma in 2 cases (16. 7%), external auditory canal granuloma in 1 case (8. 3%), hemangioma in 1 case(8. 3%). 2 ca-ses (16. 7%) were missed diagnosis. Only 1 case was confirmed by preoperative pathological examination. The 12 patients underwent surgical treatment and postoperative pathological examination and they were diagnosed with glomus tympanicum tumor. All the patients were followed up for 1 to 3 years with no recurrent lesions. Conclusion It is difficult to differentiate glomus tympanicum tumor from middle ear inflammatory disease. Adequate imaging examination combined with pathological examination are necessary in reducing the misdiagnosis rate. Surgery is a preferred approach in treatment of glomus tympani-cum tumor with good prognosis.
Keywords：Glomus tympanicum tumorMisdiagnosisOtitis mediaCholesteatoma
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 58-61 )