An Older Adult with a Recent History of Mixed Hearing

An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply

A) Cholesteatomas are benign and self-limiting, and hearing loss will resolve spontaneously.
B) Cholesteatomas are usually the result of metastasis from a distant tumor site.
C) Cholesteatomas are often the result of chronic otitis media.
D) Cholesteatomas, if left untreated, result in intractable neuropathic pain.
E) Cholesteatomas usually must be removed surgically.