Dekhou Antonio, Bond Laurel, Bryant Stephanie M, Silverman Dustin A
Department of Otolaryngology, Head & Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH, United States.
Department of Pathology, University of Cincinnati Medical Center, Cincinnati, OH, United States.
J Surg Case Rep. 2024 Dec 11;2024(12):rjae781. doi: 10.1093/jscr/rjae781. eCollection 2024 Dec.
Cutaneous malignancies of the head and neck are common; however, superficial sarcomas of the head and neck are relatively rare. We present a 71-year-old unhoused gentleman with challenging access to medical care and poor health literacy who presented with a large, isolated, pedunculated mass of the left auricular helix. Preoperative biopsy was compatible with pleomorphic dermal sarcoma (PDS). The patient subsequently underwent definitive surgical resection with partial auriculectomy and bilateral advancement flap closure. Final pathology confirmed the diagnosis of PDS. Given the rarity of PDS of the ear, we describe a challenging case presentation, diagnosis, and management in an unhoused patient.
头颈部皮肤恶性肿瘤很常见；然而，头颈部浅表肉瘤相对罕见。我们报告一位71岁的无家可归男性，他获得医疗护理困难且健康素养差，因左耳廓螺旋部出现一个巨大、孤立、带蒂肿物前来就诊。术前活检结果符合多形性皮肤肉瘤（PDS）。患者随后接受了确定性手术切除，包括部分耳廓切除术和双侧推进皮瓣闭合术。最终病理确诊为PDS。鉴于耳部PDS的罕见性，我们描述了一位无家可归患者具有挑战性的病例表现、诊断及治疗过程。
