Plasma cell granuloma middle ear: A rare lesion at a rare site

Plasma cell granuloma (PCG) is a rare non-neoplastic lesion, characterised by proliferation of immunoreactive polyclonal plasma cells present in a fibrous background. We present a case of 30 year male who presented with left sided otalgia, tinnitus and otorrhea along with mild conductive hearing loss. On CT scan a diagnosis of CSOM with granulation tissue was made however on histological examination, on microscopy with immunohistochemistry (IHC), it was reported as plasma cell granuloma of the middle ear. Middle ear plasma cell granuloma is a rare entity only few cases are reported in literature so far. Here, we will discuss clinical presentation, histological diagnosis with IHC and management of this rare entity at an unusual location along with review of literature.