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Multiple myeloma presenting with external ear canal mass

Published online by Cambridge University Press:  29 June 2007

D. Quinodoz ,
P. Dulguerov ,
A.-M. Kurt ,
D. Ruefenacht ,
R. Abele ,
A. S. Allal  and
P. Montandon
D. Quinodoz
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
P. Dulguerov*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
A.-M. Kurt
Affiliation:
Department of Otolaryngology and Pathology, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
D. Ruefenacht
Affiliation:
Department of Otolaryngology and Radiology, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
R. Abele
Affiliation:
Department of Otolaryngology and Medicine, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
A. S. Allal
Affiliation:
Department of Otolaryngology and Radiology, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
P. Montandon
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneya 14, Switzerland
*
Address for correspondence: Pavel Dulguerov, M.D., Department of Otolaryngology, Head and Neck Surgery, University Canton Hospital, 24 Rue Micheli-du-Crest, 1211 Geneva 14, Switzerland. Fax: (4122) 372 82 40 e-mail: [email protected]
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Abstract

The manifestations of multiple myeloma are protean and related to bony osteolytic lesions, and to medullar and renal insufficiency. We report a patient who presented with otalgia as the inaugural symptom of multiple myeloma. Local irradiation combined with systemic chemotherapy led to the disappearance of the temporal bone mass and the accompanying symptoms. To date, 24 months after the diagnosis, the patient is still in remission.

The literature on otological involvement in multiple myeloma is reviewed. Symptoms are non-specific and include hearing loss, tinnitus, dizziness, facial paralysis, and otalgia. The diagnosis of multiple myeloma should be considered in the presence of a temporal bone mass.

Keywords

EarMultiple myelomaPainDrug therapyRadiotherapy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 5 , May 1998 , pp. 469 - 471
Copyright
Copyright © JLO (1984) Limited 1998

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