Langerhans Cell Histiocytosis: An Unusual Presentation

Result: A 30-year-old male who previously underwent cervical spine surgery for Pott’s disease, presenting with watery ear discharge and mandibular resorption was initially diagnosed with tuberculosis. On MRI, a mildly contrast-enhancing soft tissue mass involving the left infratemporal and middle cranial fossae consistent with residual or recurrent tumor as well as an inflammatory process was seen. He underwent transtemporal excision of the mass with external auditory canal blind sac closure and obliteration. Final histopathology revealed Langerhans cell histiocytosis. A review of slides of the specimen from the previous spine surgery was done and signed out as Langerhans cell histiocytosis.