Objectives:To evaluate outcomes in treating carcinoma of external auditory canal(EAC) and to analysis factors which effect the prognosis of this disease.Methods:A retrospectively review of 16 patients treated for carc...Objectives:To evaluate outcomes in treating carcinoma of external auditory canal(EAC) and to analysis factors which effect the prognosis of this disease.Methods:A retrospectively review of 16 patients treated for carcinoma of EAC at our department between April 2000 and April 2014 was conducted.All patients underwent surgical treatment and the diagnosis confirmed by pathological examination.Results:There were adenoid cystic carcinoma(ACC) in 8 patients,squamous cell carcinoma(SCC) in 5 patients,adenocarcinoma(AC) in 2patients,and verrucous carcinoma(VC) in 1 patient.The tumors were classified as Stage I in 4 cases,Stage II in 2 cases,Stage III in 3 cases,and Stage Ⅳ in 7 cases.Five patients underwent extensive tumor resection(ETR),2 patients underwent lateral temporal bone resection(LTBR),5patients underwent modified LTBR,2 patients underwent subtotal temporal bone resection(STBR),and 2 patients underwent only open biopsy.Besides,adjunctive procedures,including neck dissection,parotidectomy and pinna resection were performed when indicated.Ten patients received postoperative radiotherapy.By the end of follow up,two patients had died of their disease,2 lost to follow up,2 survived with the disease,and the rest survived disease-free.The median follow-up period was 24 months.Conclusion: Complete tumor resection appears to be an effective treatment for carcinoma of the EAC. Patients with SCC seem to have worse prognosis than those with ACC. Radiation therapy seems less effective for ihe disease than surgical treatment.展开更多
This report describes a rare case of metastatic hepatocellular carcinoma (HCC) presenting a huge mass in the left external auditory canal (EAC). The patient was a 55-year-old man with hepatitis B virus-related HCC. He...This report describes a rare case of metastatic hepatocellular carcinoma (HCC) presenting a huge mass in the left external auditory canal (EAC). The patient was a 55-year-old man with hepatitis B virus-related HCC. He presented to our department with a three-month history of increasing left otalgia,and hearing loss with recent fresh aural bleeding. Histopathologic examination indicated that the tumor was secondary to HCC. Although external irradiation was not effective,the tumor was treated with surgical debulking and high dose rate 192 Ir remote afterloading system (RALS) for postoperative intracavitary irradiation. A review of the literature revealed only five other cases of HCC metastasis to the temporal bone,all of which mainly metastasized in the internal acoustic meatus. The present case is the first report of HCC metastasis to the EAC.展开更多
Tumors involving the head and neck are uncommon in children. Furthermore, those which involve the external ear are extremely rare. In the external ear itself, the most commonly encountered malignancy is Squamous Cell ...Tumors involving the head and neck are uncommon in children. Furthermore, those which involve the external ear are extremely rare. In the external ear itself, the most commonly encountered malignancy is Squamous Cell Carcinoma, both in the adult and pediatric age groups. We encountered one such case of a 14 years old male with a recurring skin lesion involving the right external ear. In this report, we wish to highlight and address the difficulty in recognizing and managing such an unwonted pathology as Squamous Cell Carcinoma in the pediatric age group.展开更多
文摘Objectives:To evaluate outcomes in treating carcinoma of external auditory canal(EAC) and to analysis factors which effect the prognosis of this disease.Methods:A retrospectively review of 16 patients treated for carcinoma of EAC at our department between April 2000 and April 2014 was conducted.All patients underwent surgical treatment and the diagnosis confirmed by pathological examination.Results:There were adenoid cystic carcinoma(ACC) in 8 patients,squamous cell carcinoma(SCC) in 5 patients,adenocarcinoma(AC) in 2patients,and verrucous carcinoma(VC) in 1 patient.The tumors were classified as Stage I in 4 cases,Stage II in 2 cases,Stage III in 3 cases,and Stage Ⅳ in 7 cases.Five patients underwent extensive tumor resection(ETR),2 patients underwent lateral temporal bone resection(LTBR),5patients underwent modified LTBR,2 patients underwent subtotal temporal bone resection(STBR),and 2 patients underwent only open biopsy.Besides,adjunctive procedures,including neck dissection,parotidectomy and pinna resection were performed when indicated.Ten patients received postoperative radiotherapy.By the end of follow up,two patients had died of their disease,2 lost to follow up,2 survived with the disease,and the rest survived disease-free.The median follow-up period was 24 months.Conclusion: Complete tumor resection appears to be an effective treatment for carcinoma of the EAC. Patients with SCC seem to have worse prognosis than those with ACC. Radiation therapy seems less effective for ihe disease than surgical treatment.
文摘This report describes a rare case of metastatic hepatocellular carcinoma (HCC) presenting a huge mass in the left external auditory canal (EAC). The patient was a 55-year-old man with hepatitis B virus-related HCC. He presented to our department with a three-month history of increasing left otalgia,and hearing loss with recent fresh aural bleeding. Histopathologic examination indicated that the tumor was secondary to HCC. Although external irradiation was not effective,the tumor was treated with surgical debulking and high dose rate 192 Ir remote afterloading system (RALS) for postoperative intracavitary irradiation. A review of the literature revealed only five other cases of HCC metastasis to the temporal bone,all of which mainly metastasized in the internal acoustic meatus. The present case is the first report of HCC metastasis to the EAC.
文摘Tumors involving the head and neck are uncommon in children. Furthermore, those which involve the external ear are extremely rare. In the external ear itself, the most commonly encountered malignancy is Squamous Cell Carcinoma, both in the adult and pediatric age groups. We encountered one such case of a 14 years old male with a recurring skin lesion involving the right external ear. In this report, we wish to highlight and address the difficulty in recognizing and managing such an unwonted pathology as Squamous Cell Carcinoma in the pediatric age group.
