[Differential diagnosis of an ear canal polyp].
Aural polyps or granulation tissue, though usually due to infection, may represent a neoplasm, the most frequent malignant tumour in childhood being rhabdomyosarcoma. We report a 9-year-old boy from whom an aural polyp was removed 4 years ago, with the histological diagnosis of a botryoid (alveolar type) rhabdomyosarcoma. Surgery and chemotherapy with cyclophosphamide, vincristine, adriamycin and actinomycin D were followed by a local recurrence 2 years later. This was treated by chemotherapy and irradiation with 50 Gy; the child has now been free of disease for 2 years. Rhabdomyosarcoma of the ear has a considerably improved cure rate with newer treatments if the diagnosis is made early by biopsy.
Axhausen
M
M
Hals-Nasen-Ohren-Abteilung Sankt Gertrauden Krankenhauses, Berlin.
Jahnke
V
V
D002648:Child; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004424:Ear Canal / Q000473:pathology; D004428:Ear Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D011127:Polyps / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D012208:Rhabdomyosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy
Differentialdiagnose eines Gehörgangspolypen.