A Rare Case of Adenoid Cystic Carcinoma of External Auditory Canal

W. Bijou

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

F. El Mourabit *

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

C. Rsaissi

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

M. Loudghiri

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

W. Bijou

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

Y. Oukessou

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

S. Rouadi

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

R. Abada

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

M. Roubal

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

M. Mahtar

Department of Otolaryngology-Head and Neck Surgery, University Hospital Ibn Rochd, Casablanca, Morocco.

*Author to whom correspondence should be addressed.


Abstract

There are very few primary malignant tumours of the external auditory canal, and adenoid cystic carcinoma is an extremely rare tumour. The majority of patients present with severe or dull unilateral pain, reduced hearing, and a mass in the external ear. Accounting for around 5%. The majority of patients present with severe or dull, constant and prolonged unilateral pain, reduced hearing and a mass in the external ear. These tumours are treated with aggressive surgical excision and adjuvant radiotherapy. Despite this, the overall prognosis is poor due to recurrence and distant metastases. We report a rare case of cystic adenoid carcinoma in a 75-year-old man who presented with right ear fullness for one year. The patient was treated by wide local excision of the mass followed by adjuvant radiotherapy.

Keywords: Adenoid cystic carcinoma, external auditory canal, hearing loss, otalgia, ceruminous gland malignancy surgery, parotidectomy


How to Cite

Bijou , W., F. El Mourabit, C. Rsaissi, M. Loudghiri, W. Bijou, Y. Oukessou, S. Rouadi, R. Abada, M. Roubal, and M. Mahtar. 2024. “A Rare Case of Adenoid Cystic Carcinoma of External Auditory Canal”. Asian Journal of Case Reports in Surgery 7 (1):68-73. https://journalajcrs.com/index.php/AJCRS/article/view/500.


References

Moody SA, Hirsch BE, Myers EN. Squamous cell carcinoma of the external auditory canal: An evaluation of a staging system. Am J Otol. 2000;21:582–8.

Kuhel WI, Hume CR, Selesnick SH. Cancer of the external auditory canal and temporal bone. Otolaryngol Clin North Am. 1996;29:827–52.

Dehesdin D, Andrieu-Guitrancourt J, Hemet J, Cauchois P, Marie JP, Vinel V. Tumeurs glandulaires du conduit auditif externe. Ann Otolaryngol Chir Cervicofac 1993;110:70–4.

Wassef M, Thomas V, Deffrennes D, Lacau Saint-Guily J. Les carcinomes adénoïdes kystiques cutanés primitifs. Ann Pathol. 1995;15:150–5.

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

Gu FM, Chi FL, Dai CF, Chen B, Li HW. Surgical outcomes of 43 cases with adenoid cystic carcinoma of the external auditory canal. Am J Otolaryngol. 2013;34:394–398. DOI: 10.1016/j.amjoto.2013.01.018

Liu SC, Kang BH, Nieh S, Chang JL, Wang CH. Adenoid cystic carcinoma of the external auditory canal. J Chin Med Assoc. 2012;75:296–300. DOI: 10.1016/j.jcma.2012.04.007

Zhang T, Dai C, Wang Z. The misdiagnosis of external auditory canal carcinoma. Eur Arch Otorhinolaryngol. 2013;270:1607–1613. DOI: 10.1007/s00405-012-2159-4

Kwok HC, Morton RP, Chaplin JM, McIvor NP, Sillars HA. Quality of life after parotid and temporal bone surgery for cancer. Laryngoscope. 2002;112:820–833. DOI: 10.1097/00005537-200205000-00010

Wang CC. Radiation therapy in the management of carcinoma of the external auditory canal, middle ear, or mastoid. Radiology. 1975;116:713–715. DOI:10.1148/116.3.713

Dong F, Gidley PW, Ho T, Luna MA, Ginsberg LE, Sturgis EM. Adenoid cystic carcinoma of the external auditory canal. Laryngoscope. 2008;118:1591–1596. DOI: 10.1097/MLG.0b013e31817c42a8

Pulec JL, Parkhill EM, Devine KD. Adenoid cystic carcinoma (Cylindroma) of the external auditory canal. Trans Am Acad Ophthalmol Otolaryngol. 1963;67:673–694.

Perzin KH, Gullane P, Conley J. Adenoid cystic carcinoma involving the external auditory canal. A clinicopathologic study of 16 cases. Cancer. 1982;50:2873–2883. DOI: 10.1002/1097-0142(19821215)50:12 <2873:AID-CNCR2820501230>3.0.CO;2-R

Choi JY, Choi EC, Lee HK, Yoo JB, Kim SG, Lee WS. Mode of parotid involvement in external auditory canal carcinoma. J Laryngol Otol. 2003;117:951–954. DOI: 10.1258/002221503322683821

Vishnu Prasad, Vijendra S Shenoy,Raghavendra A Rao,Panduranga M Kamath,and Haseena Shihab. Adenoid Cystic Carcinoma– A rare Differential Diagnosis for a mass in the External Auditory Canal. J Clin Diagn Res. 2015;9(1):MD01–MD02

O'Neill PB, Parker RA. Sweat gland tumours (ceruminomata) of external auditory meatus. J Laryngol Otol. 1957;71:824–831. DOI: 10.1017/S002221510005252X

Nayak SP, Walke VA, Helwatkar SB, Bobhate SK. Adenoid cystic carcinoma of the external auditory canal: Report of two cases. Indian J Pathol Microbiol. 2009;52: 540–542. DOI: 10.4103/0377-4929.56157

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.

Fenniche S, Haouet S, Mdimagh H, et al. Les tumeurs des glandes cérumineuses. Ann Pathol 1995;15:147–9.

Triantafillidou K, Dimitrakopoulos J, Iordanidis F, Koufogiannis D. Management of adenoid cystic carcinoma of minor salivary glands. J Oral Maxillofac Surg. 2006;64:1114–1120. DOI: 10.1016/j.joms.2005.06.017

De Lucia A, Gambardella T, Carra P, Motta G. A case of highly aggressive adenoid cystic carcinoma of the external auditory canal. Acta Otorhinolaryngol Ital. 2004;24: 354–356.

Sigal R, Monnet O, de Baere T, Micheau C, Shapeero LG, Julieron M, et al. Adenoid cystic carcinoma of the head and neck: evaluation with MR imaging and clinical-pathologic correlation in 27 patients. Radiology. 1992;184:95–101.

Conlin PA, Mira JL, Graham SC, Kaye KS, Cordero J. Ceruminous gland adenoid cystic carcinoma with contralateral metastasis to the brain. Arch Pathol Lab Med. 2002;126:87–89.

Zainor S, Mamat H, Saad SM. Adenoid cystic carcinoma of external auditory canal: A case report. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2013;14(1):41–44.

Bassereau G, Brasnu D, Roux FX, Menard M, Laccourreye H. Carcinome primitif du conduit auditif externe et de l’oreille moyenne (à propos de 14 cas). Ann Otolaryngol Chir Cervicofac 1989;106: 169–75.

Buda-Nowak A, Swiader M, Puskulluoglu M, Dyduch G, Krupinski M, Krzemieniecki K. Adenoid cystic carcinoma of the external auditory canal with metastases to lymph nodes and lungs-problematic diagnosis and treatment based on a case report. Przegl Lek. 2015;72:383–386.

Moffat DA, Wagstaff SA, Hardy DG. The outcome of radical surgery and postoperative radiotherapy for squamous carcinoma of the temporal bone. Laryngoscope. 2005;115:341–347. DOI: 10.1097/01.mlg.0000154744.71184.c7

Chen AM, Bucci MK, Weinberg V, Garcia J, Quivey JM, Schechter NR, Phillips TL, Fu KK, Eisele DW. Adenoid cystic carcinoma of the head and neck treated by surgery with or without postoperative radiation therapy: Prognostic features of recurrence. Int J Radiat Oncol Biol Phys. 2006;66:152–159. DOI: 10.1016/j.ijrobp.2006.04.014

Silverman DA, Carlson TP, Khuntia D, Bergstrom RT, Saxton J, Esclamado RM. Role for postoperative radiation therapy in adenoid cystic carcinoma of the head and neck. Laryngoscope. 2004;114:1194–1199. DOI: 10.1097/00005537-200407000-00012

Cristalli G, Manciocco V, Pichi B, Marucci L, Arcangeli G, Telera S, Spriano G. Treatment and outcome of advanced external auditory canal and middle ear squamous cell carcinoma. J Craniofac Surg. 2009;20:816–821. DOI: 10.1097/SCS.0b013e3181a14b99