[Surgical treatment of tumors of the external ear]. 1990

E Kotarba
Kliniki Otorinolaryngologicznej Akademii Medycznej w Krakowie.

In the years 1974-1988 in the Department of Otorhinolaryngology Medical Academy in Cracow 60 patients were treated surgically for malignant tumours of the auricle. Their mean age was 61.9 years, males prevailed (82%). In 1 case the malignant lesion involved also the external auditory meatus and in 4 cases it spread to the skin near the auricle. Histological examinations demonstrated basal cell carcinoma in 22 cases (37%), spinocellular carcinoma in 31 cases (52%), basal-spinocellular carcinoma in 6 cases (10%) and malignant melanoma in 1 case. In 3 cases of spinocellular carcinoma metastases to lymph nodes were found. In 30 cases partial amputation of the auricle was done, in one of them recurrence developed after over 5 years. Advanced malignant lesions in 30 cases required extensive operation with removal of the lesion within margins of healthy tissue, removal of lymph nodes with metastases and one-step plastic operation. Recurrences developed in 2 cases. Hyperkeratotic foci near the malignant tumour were present in 64% of these patients. They made difficult preoperative qualification and required more extensive excision of the neoplasm. After tumour removal from the external meatus the resulting tissue defect must be filled with a skin graft since healing by granulation tissue development leads to obliteration of the meatus. Two out of 7 patients required additional interventions for maintenance of the patency of the meatus.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002280 Carcinoma, Basal Cell A malignant skin neoplasm that seldom metastasizes but has potentialities for local invasion and destruction. Clinically it is divided into types: nodular, cicatricial, morphaic, and erythematoid (pagetoid). They develop on hair-bearing skin, most commonly on sun-exposed areas. Approximately 85% are found on the head and neck area and the remaining 15% on the trunk and limbs. (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p1471) Carcinoma, Basal Cell, Pigmented,Epithelioma, Basal Cell,Rodent Ulcer,Ulcer, Rodent,Basal Cell Carcinoma,Basal Cell Carcinomas,Basal Cell Epithelioma,Basal Cell Epitheliomas,Carcinomas, Basal Cell,Epitheliomas, Basal Cell,Rodent Ulcers,Ulcers, Rodent
D002281 Carcinoma, Basosquamous A skin carcinoma that histologically exhibits both basal and squamous elements. (From Dorland, 27th ed) Basosquamous Carcinoma,Basosquamous Carcinomas,Carcinomas, Basosquamous
D002294 Carcinoma, Squamous Cell A carcinoma derived from stratified SQUAMOUS EPITHELIAL CELLS. It may also occur in sites where glandular or columnar epithelium is normally present. (From Stedman, 25th ed) Carcinoma, Epidermoid,Carcinoma, Planocellular,Carcinoma, Squamous,Squamous Cell Carcinoma,Carcinomas, Epidermoid,Carcinomas, Planocellular,Carcinomas, Squamous,Carcinomas, Squamous Cell,Epidermoid Carcinoma,Epidermoid Carcinomas,Planocellular Carcinoma,Planocellular Carcinomas,Squamous Carcinoma,Squamous Carcinomas,Squamous Cell Carcinomas
D004426 Ear Deformities, Acquired Distortion or disfigurement of the ear caused by disease or injury after birth. Acquired Ear Deformities,Acquired Ear Deformity,Deformities, Acquired Ear,Deformity, Acquired Ear,Ear Deformity, Acquired
D004428 Ear Neoplasms Tumors or cancer of any part of the hearing and equilibrium system of the body (the EXTERNAL EAR, the MIDDLE EAR, and the INNER EAR). Auricular Cancer,Auricular Neoplasms,Cancer of Ear,Ear Cancer,Cancer of Ear Auricle,Cancer of the Ear,Neoplasms of Ear Auricle,Neoplasms, Auricular,Neoplasms, Ear,Auricular Cancers,Cancer, Auricular,Cancers, Auricular,Ear Auricle Cancer,Ear Auricle Cancers,Ear Auricle Neoplasm,Ear Auricle Neoplasms,Ear Neoplasm,Neoplasm, Ear
D004431 Ear, External The outer part of the hearing system of the body. It includes the shell-like EAR AURICLE which collects sound, and the EXTERNAL EAR CANAL, the TYMPANIC MEMBRANE, and the EXTERNAL EAR CARTILAGES. External Ear,Outer Ear,Ear, Outer,Ears, External,Ears, Outer,External Ears,Outer Ears
D004954 Esthetics The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc. Aesthetics
D005260 Female Females

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