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Glomus jugulare tumor (presumptive - no biopsy)

Decker CWD - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Glomus jugulare tumor (presumptive - no biopsy)

History: 78 yo male with prior history significant for squamous cell carcinoma (T1N0M0) of the true vocal cord 20 years prior now with loss of hearing in the left ear for several months

Findings: Large tumor of the left vascular space which displaces adjacent vessels. Condylar and basilar portions of the occipital bone are eroded. The lesion is slightly hypointense to gray matter on T1 and vigorously enhances following contrast administration. A salt and pepper appearance is noted.

Ddx: Glomus jugulare - most likely given slow growth, "salt and pepper" appearance with contrast, and vigorous contrast enhancement Schwannoma - delayed enhancement and prolongedcontrast properties not characteristic Meningioma - delayed imaging was not performed thus cannot rule out based on enhancement characteristics alone

Exam: Sensorineural hearing loss.

No MeSH data available.


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Glomus jugulare tumor (presumptive - no biopsy)

Decker CWD - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1736&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Glomus jugulare tumor (presumptive - no biopsy)

History: 78 yo male with prior history significant for squamous cell carcinoma (T1N0M0) of the true vocal cord 20 years prior now with loss of hearing in the left ear for several months

Findings: Large tumor of the left vascular space which displaces adjacent vessels. Condylar and basilar portions of the occipital bone are eroded. The lesion is slightly hypointense to gray matter on T1 and vigorously enhances following contrast administration. A salt and pepper appearance is noted.

Ddx: Glomus jugulare - most likely given slow growth, "salt and pepper" appearance with contrast, and vigorous contrast enhancement Schwannoma - delayed enhancement and prolongedcontrast properties not characteristic Meningioma - delayed imaging was not performed thus cannot rule out based on enhancement characteristics alone

Exam: Sensorineural hearing loss.

No MeSH data available.