DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20212905

Middle ear squamous cell carcinoma: a case report

Nilesh H. Mahajan, Asha M., Vinay Kumar Vijayendra, Vijayendra Honnurappa

Abstract


Squamous cell carcinoma of middle ear is a rare entity. We present a case of 77 year old male, with squamous cell carcinoma of middle ear. Patient presented with blood tinged otorrhoea. Oto-endoscopy examination revealed a soft tissue lesion in middle ear which bled on touch. Histopathological study of this soft tissue lesion gave a diagnosis of well differentiated squamous cell carcinoma. Radical clearance of the tumour achieved after removal of the malleus and incus. Tumour was seen extending into the eustachian tube orifice and it was removed in toto. Uderlying bone was ablated using diode laser to confirm the radical clearance. Later patient was given radiotherapy 6 weeks after surgery to allow the healing of the operative site. The objective to report this case was to emphasize the importance of early diagnosis and prompt treatment for a better survival. Long standing history of ear discharge with soft tissue lesion bleeding on touch should always be evaluated by histopathological study to exclude malignancy.


Keywords


Middle ear, Squamous cell carcinoma, Chronic suppurative otitis media

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References


Kumar KS, Venugopal M, Rajan S. Middle ear malignancy masquerading as csom. Indian J Otolaryngol Head Neck Surg. 2001;53:135-7.

Hu XD, Wu TT, Zhou SH. Squamous cell carcinoma of the middle ear: report of three cases. Int J Clin Exp Med. 2015;8(2):2979-84.

Agada FO, Gnananandha C, Wickham M. Squamous Cell Carcinoma of The Middle Ear: Case Report And Literature Review. Ann Afr Med. 2004;3(2):90-2

Davanageri SR, Bannur HB, Harugop AS, Pilli GS. Squamous cell carcinoma of the middle ear arising from CSOM: A case report. J Sci Soc. 2014;41:57-8.

Sinha PP, Aziz HI. Treatment of Carcinoma of the Middle Ear. Radiology. 1978;126(2):485-7.

Tsai ST, Li C, Jin YT, Chao WY, Su IJ. High preva¬lence of human papillomavirus types 16 and 18 in middle-ear carcinomas. Int J Cancer. 1997;71:208-12.

Deka RC. Middle-ear carcinoma in a girl of eighteen. J Laryngol Otol. 1980;94:429-31.

Zhang F, Sha Y. Computed tomography and magnetic resonance imaging findings for pri¬mary middle-ear carcinoma. J Laryngol Otol. 2013;127:578-83.

Jin YT, Tsai ST, Li C. Prevalence of human papilloma virus in middle ear carcinoma associated with chronic otitis media. Am J Pathol. 1997;150:1327-33.

Vikram BK, Saimanohar S, Narayanaswamy GN. Is Squamous Cell Carcinoma of Middle Ear a Complication of Chronic Suppurative Otitis Media? Internet J Otolaryngol. 2007;6:10.

Yin M, Ishikawa K, Honda K, Arakawa T, Harabuchi Y, Nagabashi T, et al. Analysis of 95 cases of squamous cell carcinoma of external and middle ear. Auris Nasus Larynx. 2006;33:251-7.