Kim Chang-Hee, Lee Hye Seung, Kim Sung-Yong, Shin Jung Eun
Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
Department of Pathology, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
J Audiol Otol. 2019 Jan;23(1):59-62. doi: 10.7874/jao.2018.00045. Epub 2018 Jul 19.
Primary tumors arising from the external auditory canal (EAC) are rare. We describe two cases of mass lesions within the EAC causing slowly progressive hearing loss without otorrhea or otalgia. Otoendoscopic examination demonstrated total obstruction of the EAC, and pure tone audiometry revealed conductive hearing loss. Based on the findings of the histopathologic examination, one patient was diagnosed with venous hemangioma that was treated using surgical resection, and the other patient was diagnosed with diffuse large B-cell lymphoma (DLBCL) that was treated using external-beam radiation therapy. Although primary tumors in the EAC are rare, both benign tumors such as venous hemangiomas and malignant lesions such as DLBCL should be considered as possible differential diagnoses of mass lesions in the EAC.
起源于外耳道(EAC)的原发性肿瘤较为罕见。我们描述了两例EAC内的肿块病变,导致听力缓慢进行性下降,无耳漏或耳痛。耳内镜检查显示EAC完全阻塞,纯音听力测试显示传导性听力损失。根据组织病理学检查结果,一名患者被诊断为静脉血管瘤,采用手术切除治疗,另一名患者被诊断为弥漫性大B细胞淋巴瘤(DLBCL),采用外照射放疗。尽管EAC原发性肿瘤罕见,但静脉血管瘤等良性肿瘤和DLBCL等恶性病变都应被视为EAC肿块病变可能的鉴别诊断。