Temporal bone squamous cell carcinoma: Aggressive behavior coursing with cerebellar invasion and hydrocephalus

Author:

de Castro Maria Eduarda Rosário Viveiros1,Ferreira-Pinto Pedro Henrique Costa1,de Oliveira Ferreira Domênica Baroni Coelho1,Brito Ana Carolina Gonçalves2,Parise Maud1,Correa Eduardo Mendes1,Cruz Thaina Zanon1,de Freitas Wesley Klein Nunes1,de Gouvea Pedro Luiz Ribeiro Carvalho1,da Silva Wellerson Novaes1,de Sousa Bruna Cavalcante1,Videira Hannah Ferreira Machado1,Parra Guilherme Freitas1,Nigri Flavio1

Affiliation:

1. Neurosurgery, Department of Surgical Specialties, Pedro Ernesto University Hospital, Rio de Janeiro, Brazil

2. Department of Pathology, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil.

Abstract

Background: Temporal bone squamous cell carcinoma (TBSCC) is a very rare condition. The prognosis is dismal for advanced tumors. Due to its rarity, information in the literature is scarce. Here, we report a unique case of TBSCC with cerebellar invasion and hydrocephalus. Case Description: A 46-year-old reported right-sided hearing loss and a painful right retroauricular mass for 4 months. Magnetic resonance imaging revealed a 8.7 × 7.6 × 6.4 cm mass invading the right temporal and occipital bones. After a biopsy and 3 surgical procedures over 6 months, the diagnosis of TBSCC was obtained. Due to invasion of the cerebellar tissue and obstructive hydrocephalus, a ventriculoperitoneal shunt was performed. The patient was referred for adjuvant radiotherapy. However, palliative care was initiated due to tumor progression. Conclusion: We report a case of advanced TBSCC with poor prognosis despite surgical treatment and radiotherapy. More data are necessary to provide new and better treatment to these patients.

Publisher

Scientific Scholar

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