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Temporal Bone Metastasis
Hilda E. Stambuk, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Hematogenous spread to T-bone from distant primary neoplasm
                • Rarely leptomeningeal spread from internal auditory canal (IAC)
              • Bony metastatic disease to petrous apex (PA) or mastoid/middle ear

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            • Reporting Tips

                                              Selected References

                                              1. Wierzbicka M et al: Efficacy of petrosectomy in malignant invasion of the temporal bone. Br J Oral Maxillofac Surg. ePub, 2016
                                              2. de Mones del Pujol E et al: Meningeal carcinomatosis of the internal auditory meatus: clinical and imagery-aided differentiation. Otol Neurotol. 35(5):911-7, 2014
                                              3. Thirunavukarasu V et al: Post-aural ache: an unusual presentation of a metastatic temporal bone lesion from a primary adenocarcinoma of the lung. J Laryngol Otol. 127(10):1017-9, 2013
                                              4. Bakhos D et al: Two cases of temporal bone metastases as presenting sign of lung cancer. Eur Ann Otorhinolaryngol Head Neck Dis. 129(1):54-7, 2012
                                              5. Morris LG et al: Predictors of survival and recurrence after temporal bone resection for cancer. Head Neck. 34(9):1231-9, 2012
                                              6. Mehra S et al: Outcomes of temporal bone resection for locally advanced parotid cancer. Skull Base. 21(6):389-96, 2011
                                              7. Deroee AF et al: Malignant melanoma metastasis to temporal bone. Otol Neurotol. 30(2):248-9, 2009
                                              8. Ito M et al: Prognostic factors for squamous cell carcinoma of the temporal bone: extensive bone involvement or extensive soft tissue involvement? Acta Otolaryngol. 129(11):1313-9, 2009
                                              9. Connor SE et al: Imaging of the petrous apex: a pictorial review. Br J Radiol. 81(965):427-35, 2008
                                              10. Su P et al: Temporal bone pathological study on maxillary sinus carcinoma with bilateral temporal bone metastasis. Acta Otolaryngol. 127(12):1338-44, 2007
                                              11. De Vos C et al: Metastatic renal cell carcinoma to the temporal bone: case report. B-ENT. 1(1):43-6, 2005
                                              12. Nagai M et al: Facial nerve palsy due to temporal bone metastasis from hepatocellular carcinoma. J Gastroenterol Hepatol. 20(7):1131-2, 2005
                                              13. Suryanarayanan R et al: Metastatic carcinoma mimicking a facial nerve schwannoma: the role of computerized tomography in diagnosis. J Laryngol Otol. 119(12):1010-2, 2005
                                              14. Imauchi Y et al: Metastasis of cervical esophageal carcinoma to the temporal bone--a study of the temporal bone histology. Auris Nasus Larynx. 28(2):169-72, 2001
                                              15. Gloria-Cruz TI et al: Metastases to temporal bones from primary nonsystemic malignant neoplasms. Arch Otolaryngol Head Neck Surg. 126(2):209-14, 2000
                                              16. Moore KR et al: 'Leave me alone' lesions of the petrous apex. AJNR Am J Neuroradiol. 19(4):733-8, 1998
                                              17. Muckle RP et al: Petrous apex lesions. Am J Otol. 19(2):219-25, 1998
                                              18. Nakamura M et al: Metastatic hypopharyngeal carcinoma to the temporal bone. Eur Arch Otorhinolaryngol. 253(3):185-8, 1996
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Definitions

                                                          • Hematogenous spread to T-bone from distant primary neoplasm
                                                            • Rarely leptomeningeal spread from internal auditory canal (IAC)
                                                          • Bony metastatic disease to petrous apex (PA) or mastoid/middle ear

                                                        IMAGING

                                                        • General Features

                                                          • CT Findings

                                                            • MR Findings

                                                              • Angiographic Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Microscopic Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      • Image Interpretation Pearls

                                                                                        • Reporting Tips

                                                                                          Selected References

                                                                                          1. Wierzbicka M et al: Efficacy of petrosectomy in malignant invasion of the temporal bone. Br J Oral Maxillofac Surg. ePub, 2016
                                                                                          2. de Mones del Pujol E et al: Meningeal carcinomatosis of the internal auditory meatus: clinical and imagery-aided differentiation. Otol Neurotol. 35(5):911-7, 2014
                                                                                          3. Thirunavukarasu V et al: Post-aural ache: an unusual presentation of a metastatic temporal bone lesion from a primary adenocarcinoma of the lung. J Laryngol Otol. 127(10):1017-9, 2013
                                                                                          4. Bakhos D et al: Two cases of temporal bone metastases as presenting sign of lung cancer. Eur Ann Otorhinolaryngol Head Neck Dis. 129(1):54-7, 2012
                                                                                          5. Morris LG et al: Predictors of survival and recurrence after temporal bone resection for cancer. Head Neck. 34(9):1231-9, 2012
                                                                                          6. Mehra S et al: Outcomes of temporal bone resection for locally advanced parotid cancer. Skull Base. 21(6):389-96, 2011
                                                                                          7. Deroee AF et al: Malignant melanoma metastasis to temporal bone. Otol Neurotol. 30(2):248-9, 2009
                                                                                          8. Ito M et al: Prognostic factors for squamous cell carcinoma of the temporal bone: extensive bone involvement or extensive soft tissue involvement? Acta Otolaryngol. 129(11):1313-9, 2009
                                                                                          9. Connor SE et al: Imaging of the petrous apex: a pictorial review. Br J Radiol. 81(965):427-35, 2008
                                                                                          10. Su P et al: Temporal bone pathological study on maxillary sinus carcinoma with bilateral temporal bone metastasis. Acta Otolaryngol. 127(12):1338-44, 2007
                                                                                          11. De Vos C et al: Metastatic renal cell carcinoma to the temporal bone: case report. B-ENT. 1(1):43-6, 2005
                                                                                          12. Nagai M et al: Facial nerve palsy due to temporal bone metastasis from hepatocellular carcinoma. J Gastroenterol Hepatol. 20(7):1131-2, 2005
                                                                                          13. Suryanarayanan R et al: Metastatic carcinoma mimicking a facial nerve schwannoma: the role of computerized tomography in diagnosis. J Laryngol Otol. 119(12):1010-2, 2005
                                                                                          14. Imauchi Y et al: Metastasis of cervical esophageal carcinoma to the temporal bone--a study of the temporal bone histology. Auris Nasus Larynx. 28(2):169-72, 2001
                                                                                          15. Gloria-Cruz TI et al: Metastases to temporal bones from primary nonsystemic malignant neoplasms. Arch Otolaryngol Head Neck Surg. 126(2):209-14, 2000
                                                                                          16. Moore KR et al: 'Leave me alone' lesions of the petrous apex. AJNR Am J Neuroradiol. 19(4):733-8, 1998
                                                                                          17. Muckle RP et al: Petrous apex lesions. Am J Otol. 19(2):219-25, 1998
                                                                                          18. Nakamura M et al: Metastatic hypopharyngeal carcinoma to the temporal bone. Eur Arch Otorhinolaryngol. 253(3):185-8, 1996