title: Ceruminous Adenocarcinoma of External Auditory Canal: A Case Report.
abstract: 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.
authors.affiliation: Department of Otorhinolaryngology, İstanbul Training and Research Hospital, İstanbul, Turkey. suatbilici@yahoo.com.
authors.forename: Suat
authors.initials: S
authors.lastname: Bilici
authors.forename: Fırat
authors.initials: F
authors.lastname: Onur
authors.forename: Ahmet Volkan
authors.initials: AV
authors.lastname: Sünter
authors.forename: Özgür
authors.initials: Ö
authors.lastname: Yiğit
authors.forename: Gülben Erdem
authors.initials: GE
authors.lastname: Huq
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery*; D002571:Cerumen; D004424:Ear Canal; D004428:Ear Neoplasms / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery*; D005088:Exocrine Glands; D006801:Humans; D008297:Male; D008875:Middle Aged