- Usually from breast, lung, kidney; also prostate and melanoma - almost all sites have been described
- Also direct extension from tumors of pharynx, salivary gland, central nervous system
- Clinical clues are rapid sensorineural hearing loss and progressive facial nerve weakness (Acta Otorhinolaryngol Ital 2004;24:78)
End of Ear > Middle ear, inner ear and temporal bone tumors - malignant > Metastases
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