Abstract

Malignant tumor originated from external auditory canal (EAC) is very rare with an annual incidence of around 1 per million. Yet, basal cell carcinomas are less frequent than squamous cell carcinomas. Nevertheless, it is difficult to determine if their prognosis is better, as in other areas of the body. Due to the rarity of malignant tumor of EAC, there is no widely accepted treatment modality yet. But basal cell carcinoma, is known to be less aggressive tumor than squamous cell carcinoma and can be removed with a minimal safety margin and has a better treatment result. In this case report, we experienced a case of basal cell carcinoma (BCC) in the EAC, confined in the cartilaginous portion of EAC, presented with intermittent otorrhea and pruritis in the right ear. The patient was treated with local excision of the lesion with a safety margin and direct closure. No recurrence or complications were noted in the first postoperative year.

Highlights

  • Carcinomas of external auditory canal (EAC), are very rare with an annual incidence of around 1 per million people

  • Whereas Basal cell carcinoma, adenoid cystic carcinoma, adenocarcinoma, melanoma, and various sarcoma are among the other malignancies (20%) within the temporal bone [10]

  • In spite of difference between squamous cell carcinoma (SCC) and basal cell carcinoma (BCC), regarding that the BCC is locally malignant and will not spread to lymphatics or send distant metastasis. By applying this classification all forms of BCC will be considered grade 1, like grade 1 of SCC, which make the simple excision with safety margin curative

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Summary

Introduction

Carcinomas of external auditory canal (EAC), are very rare with an annual incidence of around 1 per million people. Vandeweyer et al in 2016 and one case by Mikolaj Kowal et al in 2017 [3, 4]. Basal cell carcinoma of the external auditory canal (EAC) is a rare form of malignancy that came across in head and neck surgery. The characteristics of these tumors are different from those of other skin lesions because of their pathogenesis and location [5,6,7].

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