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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Format: | Article |
Language: | English |
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Wolters Kluwer
2021-02-01
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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. |
first_indexed | 2024-12-19T12:03:44Z |
format | Article |
id | doaj.art-192020ae5cb84aae9353ac5f33accd55 |
institution | Directory Open Access Journal |
issn | 2169-7574 |
language | English |
last_indexed | 2024-12-19T12:03:44Z |
publishDate | 2021-02-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Plastic and Reconstructive Surgery, Global Open |
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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