gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Lymphoma presenting as chronic mastoiditis

Meeting Abstract

Suche in Medline nach

  • corresponding author Nermin Ünal - Städtische Kliniken HNO Holweide Köln, Köln
  • Steffen Maune - Kliniken der Stadt Köln HNO, Köln
  • Michael Brockmann - Kliniken der Stadt Köln Pathologie, Köln
  • Christina Limmroth - Kliniken der Stadt Köln Innere Medizin, Köln

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod326

doi: 10.3205/12hnod326, urn:nbn:de:0183-12hnod3266

Veröffentlicht: 4. April 2012

© 2012 Ünal et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



We present a case of chronic lymphocytic leukemia (CLL) with manifestation in both mastoid cells.

The CLL is one of the chronic lymphoproliferative disorders (Lymphoid neoplasm). It is characterized by a progressive accumulation of fuctionally incompetent lymphocytes, which are monoclonal in origin.

CLL is an extremely heterogenous disease with certain subsets of patients having survival rates without treatment that are similar to the normal population (2,3)

The patient, a 79-year-old man, presented to his otolaryngologist with hearing loss and ear pain two weeks after an episode of acute sinusitis. After myringotomy the patient had improvement of hearing only a few days. Treated unsuccessfully with several antibiotics the patient was referred to our department.

In his medical history the patient had a CLL (10/2010), stage Binet A. In accordance to indictions für treatment so far a chemotherapy was not recommended.

The tympanic membrane was thickened, reddened and there was fluid in the middle ear cavity on both sides.

The pure tone audiometry showed a combined hearing loss for air conduction treshholds and bone conduction tresholds.

Computertomography scan showed filling of both tympanic and mastoid cavities of soft tissue material and erosions of both mastoid septa.

After mastoidectomy first on the left side 07/2011, then at the right side 09/2011 the patient had no further ear pain, or hearing loss.

The tone auiodmetry showed an improvement of air conduction.

Since no other complication of the CLL occured and stage was still Binet A, the tumor board decided that no further chemotherapy is required.

Conclusions: Lymphomas of the ear are a rarity. In case of therapyresistent otitis, with or without effusion and chronic mastoiditis, a malignant tumor should be excluded by immunohistopathological investigation.