Abstract
A very rare case of a mucoepidermoid carcinoma of the external auditory canal in an 80-years-old man is presented. Two years ago the tumor of the left external auditory canal appeared, involving facial nerve. Metastatic lesions, composed of squamous cells only, appeared in the ipsilateral cervical lymph nodes. One year after surgical treatment the patient is alive and well.
Highlights
L esions of the external ear and the external auditory canal are significant and common
X ray and CT scan showed a large mass in the left external auditory canal (Figures 1-3)
The 80-year-old farmer was admitted to the Clinic of Otorhinolaryngology, University of Ni1, with a hearing loss and painless hemorrhagic discharge from the left ear
Summary
L esions of the external ear and the external auditory canal (external acoustic meatus) are significant and common. Carcinomas of the external auditory canal are rare neoplasms (< 1% of all head and neck malignant neoplasms) [1, 2] and only half of the patients have squamous cell carcinoma [3]. The symptoms and microscopic findings in carcinoma of the external auditory meatus are often unspecific and misinterpreted as recurrent otitis externa. The preauricular region was slightly painful, as well as few lymph nodes (approximately 1cm to 1.5 cm in diameter) on anterior border of sternocleidomastoid muscle. A couple of weeks after admission to the clinic, minor infiltration of the sternocleidomastoid muscle median fore edge appeared and slight impediment of neck movement to the right, probably because of secondary tumor's infection. X ray and CT scan showed a large mass in the left external auditory canal (Figures 1-3)
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