Basal cell papilloma of the external auditory canal: a case report




Basal cell papilloma, External auditory canal, Otalgia, Ear bleed


Basal cell papilloma are benign neoplastic lesion affecting skin, oral mucosa, trunk and genital organs. However it is uncommon to originate in the external auditory canal.We present a 32-year old female presented with otalgia, reduced hearing and bleeding intermittently from the left ear. Clinically it showed multilobulated, blackish mass obliterating the external auditory canal. The mass was friable and bleed to touch. Excision biopsy was done under general anaesthesia and she had uneventful recovery. The histopathology reported as seborrhoeic keratosis or Bbasal cell papilloma. No dysplasia or malignancy seen. In conclusion, basal cell papilloma of the external auditory canal is rare and complete excision of the lesion ensures good outcome and recovery.


Rashmi GH Phulari, Khushbu B. Seborrhoiec Keratosis. J Oral Maxillofac Pathol. 2014;18(2):3327-30.

Xia MY, Zhu WY, Lu JY, Lu Q, Chen L. Ultrastructure and human papillomavirus DNA in papillomatosis of external auditory canal. Int J Dermatol. 1996;35:337-9.

Kim J, Lee DH, Cho KJ, Lee SY. Huge verruca vulgaris (wart) of the external auditory canal. Otolaryngol Head Neck Surg. 2008;139:865-6.

Rogers KA, Snow JB. Squamous cell papilloma of the external auditory canal and middle ear treated with radiation therapy. Laryngoscope. 1968;78:2183-8.

Welsh RL, Gluckman JL. Dissemination of squamous papilloma by surgical manipulation: a case report. Laryngoscope. 1984;94:1568-70.

Kwok CS, Gibbs S, Bennett C, Holland R, Abbott R. Topical treatments for cutaneous warts. Cochrane Database Syst Rev. 2012;9:CD001781.

Miah MS, Crawford M, White SJ, Hussain SS. Malignant transformation from benign papillomatosis of the external auditory canal. Otol Neurotol. 2012;33:643-7.

Blair RL, Irani BS, Low C. Aural papillomatosis--treatment with the carbon dioxide laser. J Laryngol Otol. 1998;112:565-6.

Yadav SP, Chanda R, Goyal N, Chanda S. Aural papillomatosis in a 3-year-old child. Int J Pediatr Otorhinolaryngol. 2002;66:185-7.






Case Reports