Malignant melanoma of the external auditory canal. Am J Clin Oncol 1998 Feb;21(1):28-30
Date
03/14/1998Pubmed ID
9499252DOI
10.1097/00000421-199802000-00006Scopus ID
2-s2.0-0031914338 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
Malignant melanoma of the ear, other than the pinna, rarely occurs. This is the first report of a melanoma confined to the external auditory canal. The case presented is of a 75-year-old man with a malignant melanoma confined to the external auditory canal. Excision of the tumor and surrounding lymphatics was accomplished with a lateral temporal bone resection, superficial parotidectomy, and selective neck dissection. The patient initially refused postoperative radiation therapy. Histologic evaluation documented a 17-mm thick malignant melanoma. All margins were clear and none of the nodes was positive. Eight months later, he returned with local, regional, and distant recurrence. Despite attempts at salvage with external radiation, brachytherapy, and chemotherapy, he died 13 months postoperatively with widespread disease. Melanoma confined to the external auditory canal has not been previously reported. A 17-mm thick melanoma carries a dismal prognosis. Despite initial negative surgical margins and lack of regional metastases, this patient developed a rapid, widespread pattern of recurrence.
Author List
Milbrath MM, Campbell BH, Madiedo G, Janjan NAAuthor
Bruce H. Campbell MD Emeritus Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedEar Canal
Ear Neoplasms
Fatal Outcome
Humans
Male
Melanoma
