Wednesday, June 16

One-in-a-million case: New lease of life for temporal bone cancer patient

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Cancer in the temporal bone — an area of the skull above the ear — is rare as it affects just one in a million. A 48-year-old man was diagnosed with cancer in his right temporal bone almost six months ago and subsequently, he suffered from the same disease in his left ear temporal bone.

Shyam Bihari Tiwari, a businessman from Uttar Pradesh, who had undergone a surgery followed by chemotherapy and radiotherapy at Apollo Gleneagles Hospitals by Tanveer Shahid, had returned home after treatment.

A few months after the treatment of cancer on right temporal bone, Tiwari came back to the hospital with the same problem on his left ear. Doctors found advanced squamous cell carcinoma of left temporal bone had spread to his ear canal involving the parotid glands.

The tumour already had metastatic deposits to neck, parotid and skin infiltration going towards deep inside the brain. Doctors said that the cancer in the right side had nothing to do with the cancer in the other side. “Ear cancer of the temporal bone is a rare condition with a prevalence of 0.8 to one in a million. Bilateral temporal bone caner is even more rare with just about six cases being reported in medical literature worldwide,” said Shantanu Panja. The ENT and head and neck oncosurgeon and his team conducted an eight-hour long surgery to remove the tumour recently.

The complex surgery, which involved reconstructive surgeon Saptarshi Bhattacharyya to remove the tumour measuring 15cm x 10cm, included lateral temporal bone resection, radical parotidectomy, wide local excision, modified radical neck dissection with reconstruction by scalp rotation flap and split skin graft.

“It is extremely difficult to treat such tumours because of the complexity of surgery. We could remove the entire tumour. The following histopathology report shows the patient got rid of the cancer,” said Panja. Luckily, the cancer had not affected his hearing nerves, so he does not have any hearing problem.

Initially, Tiwari would run a business unit in Kolkata where some of his relatives live. He has stayed back in the city as he needs to follow up with doctors and undergo radiation therapy. “My brother-in-law has been discharged from the hospital a couple of days ago and he is doing fine. He is staying with me so that he can follow up regularly with doctors,” said his relative Shyam Nandan.


Source: Times of India

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