Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman

Summary:. Adenoid cystic carcinoma (ACC) is a relatively rare malignant tumor. It is more common in women than in men and typically develops in the lacrimal, salivary, and breast glands. ACC of the external auditory canal (EAC) is exceedingly rare, and its invasion into the ear lobe is even more unu...

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Main Authors: Gaku Nojiri, MD, Tomoki Kamimori, MD, Mizuki Uchiyama, MD, Rei Tomyo, MD, Yasushi Suga, MD, PhD, Kenji Takamori, MD, PhD, Ryuzaburo Higo, MD, PhD, Ayato Hayashi, MD, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2021-02-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003393
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author Gaku Nojiri, MD
Tomoki Kamimori, MD
Mizuki Uchiyama, MD
Rei Tomyo, MD
Yasushi Suga, MD, PhD
Kenji Takamori, MD, PhD
Ryuzaburo Higo, MD, PhD
Ayato Hayashi, MD, PhD
author_facet Gaku Nojiri, MD
Tomoki Kamimori, MD
Mizuki Uchiyama, MD
Rei Tomyo, MD
Yasushi Suga, MD, PhD
Kenji Takamori, MD, PhD
Ryuzaburo Higo, MD, PhD
Ayato Hayashi, MD, PhD
author_sort Gaku Nojiri, MD
collection DOAJ
description Summary:. Adenoid cystic carcinoma (ACC) is a relatively rare malignant tumor. It is more common in women than in men and typically develops in the lacrimal, salivary, and breast glands. ACC of the external auditory canal (EAC) is exceedingly rare, and its invasion into the ear lobe is even more unusual. In this report, we present a case of ACC that presented as a mass on the surface of the ear lobe in a 28-year-old woman and was initially diagnosed as infected atheroma. For wide resection of the tumor, half of the entire auricula was resected and superficial parotidectomy was performed. After confirming no tumor cells on the surface of the facial nerve, the defect was reconstructed by the combination of platysma muscle flap to prevent Frey syndrome and free forearm flap for the ear lobe form. There was no recurrence or metastasis of the tumor, and Frey syndrome did not occur at 2 years and 8 months after surgery. The patient was satisfied with the result, oncologically and cosmetically. Even in young patients, comprehensive treatments (including diagnosis, resection, and reconstruction) are important in painful ear lobe masses.
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spelling doaj.art-192020ae5cb84aae9353ac5f33accd552022-12-21T20:22:24ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742021-02-0192e339310.1097/GOX.0000000000003393202102000-00037Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young WomanGaku Nojiri, MD0Tomoki Kamimori, MD1Mizuki Uchiyama, MD2Rei Tomyo, MD3Yasushi Suga, MD, PhD4Kenji Takamori, MD, PhD5Ryuzaburo Higo, MD, PhD6Ayato Hayashi, MD, PhD7From the * Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, JapanFrom the * Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, JapanFrom the * Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, JapanFrom the * Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, Japan† Department of Dermatology, Juntendo University Urayasu Hospital, Chiba, Japan† Department of Dermatology, Juntendo University Urayasu Hospital, Chiba, Japan‡ Department of Otolaryngology, Juntendo University Urayasu Hospital, Chiba, Japan.From the * Department of Plastic and Reconstructive Surgery, Juntendo University Urayasu Hospital, Chiba, JapanSummary:. Adenoid cystic carcinoma (ACC) is a relatively rare malignant tumor. It is more common in women than in men and typically develops in the lacrimal, salivary, and breast glands. ACC of the external auditory canal (EAC) is exceedingly rare, and its invasion into the ear lobe is even more unusual. In this report, we present a case of ACC that presented as a mass on the surface of the ear lobe in a 28-year-old woman and was initially diagnosed as infected atheroma. For wide resection of the tumor, half of the entire auricula was resected and superficial parotidectomy was performed. After confirming no tumor cells on the surface of the facial nerve, the defect was reconstructed by the combination of platysma muscle flap to prevent Frey syndrome and free forearm flap for the ear lobe form. There was no recurrence or metastasis of the tumor, and Frey syndrome did not occur at 2 years and 8 months after surgery. The patient was satisfied with the result, oncologically and cosmetically. Even in young patients, comprehensive treatments (including diagnosis, resection, and reconstruction) are important in painful ear lobe masses.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003393
spellingShingle Gaku Nojiri, MD
Tomoki Kamimori, MD
Mizuki Uchiyama, MD
Rei Tomyo, MD
Yasushi Suga, MD, PhD
Kenji Takamori, MD, PhD
Ryuzaburo Higo, MD, PhD
Ayato Hayashi, MD, PhD
Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
Plastic and Reconstructive Surgery, Global Open
title Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
title_full Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
title_fullStr Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
title_full_unstemmed Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
title_short Adenoid Cystic Carcinoma Developed from the Parotid Gland to the Ear Lobe of a Young Woman
title_sort adenoid cystic carcinoma developed from the parotid gland to the ear lobe of a young woman
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003393
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