Pınar KARABAĞLI, Hüseyin KILIÇ, YAŞAR ÜNLÜ, Mehmet ATAY

Dış kulak yolunda adenoid kistik karsinoma

Amaç: Nadir görülen, dış kulak yolunun adenoid kistik karsinoma olgusu sunuldu. Olgu sunumu: 45 yaşında erkek hasta, dış kulak yolunda büyüme gösteren, ağrılı kitle şikayeti ile hastanemize başvurdu. Manyetik resonans görüntüleme dış kulak yolunda hipointens, heterojen kontrast tutan kitleye biyopsi ile adenoid kistik karsinoma tanısı verildi. Olguya cerrahiyi takiben radyoterapi uygulandı. 22 ay sonra yineleme veya diğer organlara metastaz izlenmedi. Sonuç: Bu olgu literatür bilgileri gözden geçirilerek, klinik bulguları, radyolojisi ve histopatolojisi ile birlikte sunuldu.

Anahtar Kelimeler:

Manyetik rezonans görüntüleme, Karsinom, adenoid kistik, Orta yaşlı, Erkek, Kulak yolu, Kulak, dış

Adenoid cystic carcinoma of the external ear

Objective: We reported a rare case of adenoid cystic carcinoma of the external auditory canal. Case report: The patient, a 45 year-old man, was referred to hospital with painfull, growing mass in his external ear canal. Magnetic resonans images showed the tumor as a hypointense mass in the external auditory canal, although there was marked heterogenous contrast enhancement. A biopsy specimen was interpreted as an adenoid cystic carcinoma. He was treated surgically and received post-operative radiotherapy. After 22 month, there were no recurrence or metastasis to other organs. Conclusion: Clinical findings, radiology and histopathology of this lesion as reported in the literature was reviewed.

Keywords:

Magnetic Resonance Imaging, Carcinoma, Adenoid Cystic, Middle Aged, Male, Ear Canal, Ear, External,

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1. Mills SE, Gaffey MJ, Frierson HF. Atlas of Tumor Pathology; Tumors of the Upper Aerodigestive Tract and Ear. Third series. Washington, D.C.: Arm Forces Institute of Pathology; 2000. pp.383-417.
2. Pulec JL. Glandular tumors of external auditory canal. Laryngoscope 1977;87:1601-12.
3. Kawana M, Nonomura N, Okura T, Nakano Y, Ikarashi F. Twenty-one cases of malignant tumor of the external auditory canal or middle ear. Nippon Jibiinkoka Gakkai Kaiho 1996;99:645-52.
4. Perzin KH, Gullane P, Conley J. Adenoid cystic carcinoma involving the external auditory canal. A clinicopathologic study of 16 cases. Cancer 1982;50:2873-83.
5. Lassetta L, Patron M, Oloriz J, Perez R, Gavilan J. Avoiding misdiagnosis in ceruminous gland tumors. Auris Nasus Larynx 2003;30:287-90.
6. Ito K, Ito T, Tsukuda M, Kanisawa M. An immunohistochemical study of adenoid cystic carcinoma of the external auditory canal. Eur Arch Otorhinolaryngol 1993;250:240-4.
7. Elder D, Elenitsas R, Ragsdale BD. Tumors of the Epidermal Appendages. In: Elder D, Elenitsas R, Jaworsky C, Johnson B (Eds), Lever’s Histopathology of the skin, 8th ed, Philadelphia: Lippincott-Raven; 1997. p.775-6.
8. Rosai J. Ackerman’s Surgical Pathology. 8th ed. St. Louis: Mosby-Year Book; 1996. pp.2512.
9. Yamamoto Y, Saka T, Makimoto K, Takahashi H. Histological changes during progression of adenoid cystic carcinoma. J Laryngol Otol 1992;106:1016-20.
10. Wassef M, Thomas V, Deffrennes D, Saint-Guily JL. Primary adenoid cystic carcinoma of skin. Histologic and ultrastructural study of two cases localized in the external auditory canal. Ann Pathol 1995;15:150-5.
11. Matthew RM, Subhashini J, Ponnaiya J, Sridhar GV, Roul RK. Adenoid cystic carcinoma of the external auditory canal with pulmonary, renal and liver metastases. Indian J Cancer 1997;34:139-42.
12. Hiraga S, Miyoshi Y, Kishimoto S. Succesful treatment of multiple pulmonary metastases of adenoid cystic carcinoma of the external auditory meatus with TS-1. Gan To Kagaku Ryoho 2004;31:1115-7.