TUMORS OF

EXTERNAL EAR
 BENIGN TUMORS OF AURICLE

PREAURICULAR SINUS OR CYST

 Etiology – Faulty union of the hillocks of the first and second branchial
arches during development of the pinna
 Presentation- Small opening in front of the crus of the helix
Patient presents with infected cyst
 Treatment – Excision of the cyst or sinus tract

SEBACEOUS CYST
 Most common site is the post auricular sulcus
DERMOID CYST
 Presents as rounded mass over the upper part of the mastoid behind pinna

KELOID
 IT follows trauma eg ear lobe piercing
 Black races more affected
 Presents as pedunculated mass
 Treatment- surgical excision with injection triamcinolone
Hemangiomas
 Congenital tumors seen usually in childhood
 a) Capillary hemangioma – It is a mass of capillary sized blood
vessels
 b) Cavernous Hemangioma – Also called strawberry tumor
It consists of endothelial lined spaces filled with blood

PAPILLOMA
 Presents as a flat tufted growth with a rough feel
 It is viral in origin
CUTANEOUS HORN
 It is a form of wart with the heaping up of keratin
 Presents as a horn shaped tumor seen at the rim of the helix in elderly people

KERATOACANTHOMA
 Benign tumor that presents clinically as a malignant one
 It has a raised nodule with a central crater

NEUROFIBROMA
Presents as a non tender firm swelling
MALIGNANT TUMORS OF AURICLE

SQUAMOUS CELL CARCINOMA

 Common site – helix
 Painless nodule with raised everted edges and indurated base
 Common in fifty year old males who had prolonged exposure to sunlight
and also in fair complexioned people
BASAL CELL CARCINOMA
 Common sites – helix and tragus
 Seen in men in their fifties
 Presents as nodule with central crust which on removal bleeds
 Ulcer has raised or beaded edges
 It often extends circumferentially into the skin

MELANOMA
Can occur anywhere over the auricle
Seen in people with light complexion exposed to direct sunlight
Metastasis seen in 50 % of cases
TUMORS OF EXTERNAL AUDITORY
CANAL
BENIGN TUMORS
1. OSTEOMA
Arises from cancellous bone ie mostly the posterior wall of meatus
Single smooth bony hard pedunculated tumor

2. EXOSTOSES
Multipe bilateral presents as smooth sessile bony swellings in deeper part of the
meatus
Arising from compact bone , seen in swimmers and divers
CERUMINOMA
 Tumor of modified sweat glands that secrete cerumen
 Smooth firm skin covered polypoid swelling in the outer part of the meatus
 It obstructs the meatus leading to retention of wax
 the tumor has the tendency to recur

SEBACEOUS ADENOMA
Arises from the sebaceous glands of the meatus
 MALIGNANT TUMORS

SQUAMOUS CELL CARCINOMA

 Seen in cases with long standing ear discharge
 Arises from meatus
 Symptoms – blood staining of hitherto mucopurulent discharge and severe ear
ache
 Facial nerve may be paralysed because of local extension of the disesase through
posterior meatal wall or spread into middle ear
 Treatment is surgical excision and post operative radiation