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    Subjects/ENT/Cholesteatoma
    Cholesteatoma
    hard
    ear ENT

    A 32-year-old man presents with chronic ear discharge and conductive hearing loss. Otoscopy reveals a retraction pocket in the posterosuperior quadrant of the tympanic membrane. High-resolution CT temporal bone shows an expansile lesion eroding the ossicular chain and lateral semicircular canal. Which of the following is NOT a recognized pathological feature of cholesteatoma?

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