External auditory canal sebaceous carcinoma.

BMJ Case Rep

Otorhinolaryngology-Head and Neck Surgery Department, Al Hada Military Hospital, Taif, Makkah, Saudi Arabia.

Published: September 2023

AI Article Synopsis

  • The incidence of sebaceous carcinoma (SC) in the outer ear canal is very rare, with only eight documented cases.
  • A case study describes a 70-year-old man with a history of hypertension and a previous spinal tumor who presented with right ear pain and a mass in the ear.
  • After removal and analysis of the mass, it was diagnosed as moderately differentiated SC; the patient did not have a recurrence but later died from unrelated causes, highlighting the need for awareness of SC symptoms in elderly patients with prior radiation exposure.

Article Abstract

The incidence of sebaceous carcinoma (SC) in the outer one-third of the external auditory canal is considered extremely rare, and only eight case reports have been published. We present a case of a male patient in his late 70s known case of hypertension on indapamide. His medical history included a postspinal tumour that had been treated with surgery and radiation more than 40 years ago and current complaints of right ear pain and purulent discharge. A right ear soft granular tissue mass was found. Complete debulking of the right ear mass was done in conjunction with middle ear exploration, moderately differentiated SC diagnosis was made based on the histopathological analysis. The patient was free of recurrence but then died of an unrelated pulmonary infection. SC should be suspected in elderly patients who present with long-term complaints of a mass with or without otalgia, and these patients should be examined for the presence of such tumours especially if they report a history of radiation. Additionally, more research is warranted to investigate the association of diuretics with SC.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10546117PMC
http://dx.doi.org/10.1136/bcr-2023-255038DOI Listing

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