ABSTRACT
External Auditory Canal and Middle Ear tumor are rare. Its unspecific symptoms make the physician confuse and has not a good prognosis. The aim of this study was to access the prevalence and comparing of middle and external ear carcinoma [Squamous Cell Carcinoma or Basal cell Carcinoma] in demographic factors and kind of management. In this cross sectional study we evaluated the patients with squamous cell carcinoma and basal cell carcinoma of external and middle ear who treated in ENT ward of Ghaem hospital Mashhad during 1995- 2009. We randomly selected 63 patients and followed them up for 2-24 months. Our findings showed that of total 47 patients with external auditory canal malignant tumors had either SCC [46.81%] or BCC [53.19%]. In the other hand of 16 patients with middle ear malignant tumor showed either SCC [93.75%] or BCC [6.25%]. Two- year survival in external auditory canal malignancies was much better than middle ear malignancies. The rates of recurrence in external auditory canal malignancy and in middle ear malignancy were 13% and 50% respectively. The best management in this malignancies is en block resection
Subject(s)
Humans , Female , Male , Ear, Middle , Ear Canal , Cross-Sectional Studies , Treatment Outcome , Carcinoma, Squamous Cell , Carcinoma, Basal Cell , Ear Neoplasms/epidemiologyABSTRACT
El cáncer de oído esterno represnta el 6 por ciento de los cánceres de piel y se considera potencialmente letal. En el 85 por ciento de los casos se presenta en el pabellón auricular y el resto en el conducto auditivo externo. En nuestra revisión de 1970 a 1989 encontramos 85 pacientes con 89 lesiones malignas (cuatro casos bilaterales), en la gran mayoría de los cuales fueron carcinomas epidermoides 50.5 por ciento (43). El grupo más afectado fue el de los campesinos, alcanzando 34 casos (40 por ciento). El 14.1 por ciento de los pacientes (12) presentaron metástadis a cuello, siendo en sumayoría 58 por ciento preauriculares. La modalidad terapéutica más empleada fue la cirugía 57.6 por ciento (51); de éstos, el 51.1 por ciento (26) se perdieron a los 12 meses sin evidencia de actividad tumoral.
Subject(s)
Humans , Male , Female , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Basal Cell/diagnosis , Ear Neoplasms/epidemiology , Melanoma/diagnosis , Neoplasm Metastasis , Ear, External/physiopathologyABSTRACT
Ceruminous gland tumours are very rare glandular tumours of the external auditory meatus. We have dealt with 7 cases in past 10 years. It occurs mainly in middle aged persons. About 60% are adenoid cystic carcinomas. The treatment consists of local extensive excision and postoperative radiotherapy. All of the 4 cases of adenoid cystic carcinoma are still alive after a postoperative follow-up period of 17 months to 9 years