Bilici Suat, Onur Fırat, Sünter Ahmet Volkan, Yiğit Özgür, Huq Gülben Erdem
Department of Otorhinolaryngology, İstanbul Training and Research Hospital, İstanbul, Turkey.
J Int Adv Otol. 2016 Dec;12(3):341-344. doi: 10.5152/iao.2016.1249. Epub 2016 Aug 3.
The external auditory canal contains ceruminous glands, which are modified apocrine sweat glands, along with sebaceous glands. Tumors that originate from ceruminous glands are very rare; thus, the classification, clinical behavior, and management of these tumors remain debatable. Here we present a case of ceruminous adenocarcinoma arising from the external auditory canal. Although most authors advise more aggressive therapy, our patient was treated with local en bloc resection of the tumor followed by intensity modulated radiotherapy and had no recurrence for 3 years. We suggest that limited surgery with safe margins followed by radiotherapy is an alternative choice of treatment in selected patients with ceruminous adenocarcinoma. Further reports are required to support this outcome.
外耳道含有耵聍腺，其为特化的顶泌汗腺，还含有皮脂腺。起源于耵聍腺的肿瘤非常罕见；因此，这些肿瘤的分类、临床行为及治疗仍存在争议。在此，我们报告1例起源于外耳道的耵聍腺癌病例。尽管大多数作者建议采取更积极的治疗方法，但我们的患者接受了肿瘤局部整块切除，随后进行调强放疗，3年未复发。我们认为，对于部分耵聍腺癌患者，行安全切缘的有限手术并联合放疗是一种可供选择的治疗方案。需要更多报告来支持这一结果。
