Abstract

This paper reports a rare case of solitary fibrous tumor(SFT) arising independently from the external auditory canal. A 16-year-old female patient presented with mass in left external auditory canal and aural fullness. Physical examination revealed a large papillomatous mass coming out from left external auditory canal. The patient underwent surgical removal of tumor. A light microscopic study showed a spindle-cell proliferation with a collagenous stroma and a staghorn-like vascular pattern. The tumor cells were immune histochemically positive for vimentin. One week after resection aural fullness had resolved. Solitary fibrous tumor is a rare mesenchymal tumor which originates in the pleura or at virtually any site in the soft tissue.It has been observed that 78% to 88% of SFT's are benign and 12% to 22% are malignant.En-bloc resection remains the cornerstone of therapy. Although, several cases of extra pleural SFT have been reported, only one case of external auditory canal SFT has been reported so far. Excision of SFT of the external auditory canal is advisable, especially in the presence of symptoms, and should be preceded by confirmation of non-malignancy by biopsy, if possible.

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