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March 1969


Author Affiliations

Warwich, England

Arch Otolaryngol. 1969;89(3):557-558. doi:10.1001/archotol.1969.00770020559025

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To The Editor.—Regarding Dr. H. Rosenwasser's monograph on glomus jugulare tumors in the July 1968 Archives.

  1. These tumors appear to grow more slowly in the elderly.

  2. They may occur in children and are then very malignant and spread rapidly intracranially, involving many cranial nerves, and meningitis may follow when the ear drum is open and infection supervenes. The worst such case observed was in the early 1940's in a child age 3 years, who died within a few months of first presenting with a polyp and suppuration in the ear; the mastoid, petrous bones, and many cranial nerves were already involved. The original histological diagnosis was haemangio-endothelio-sarcoma, and review of the sections a few years later led to the conclusion that the correct diagnosis was a highly invasive cellular and malignant glomus jugulare tumor.

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