Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America

Syringoid eccrine carcinoma (SEC) is a rare, malignant, adnexal, and locally aggressive tumor. Due to their low incidence and non-specific clinical manifestation, these tumors are often misdiagnosed, even in the presence of specific histological findings. The involvement of the ear is exceptionally...

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Main Authors: Santiago Hernández, Elisa Gutiérrez-Gómez, María Teresa Rodríguez-Ruiz, Mariam Carolina Rolón Cadena
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Otolaryngology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468548821000023
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author Santiago Hernández
Elisa Gutiérrez-Gómez
María Teresa Rodríguez-Ruiz
Mariam Carolina Rolón Cadena
author_facet Santiago Hernández
Elisa Gutiérrez-Gómez
María Teresa Rodríguez-Ruiz
Mariam Carolina Rolón Cadena
author_sort Santiago Hernández
collection DOAJ
description Syringoid eccrine carcinoma (SEC) is a rare, malignant, adnexal, and locally aggressive tumor. Due to their low incidence and non-specific clinical manifestation, these tumors are often misdiagnosed, even in the presence of specific histological findings. The involvement of the ear is exceptionally rare. Here we present the case of a male patient who arrived at our clinic with a non-painful nodular lesion that had developed over the course of month, located in the right external auditory canal (EAC) and post auricular area. Magnetic Resonance (MRI) and computed tomography (CT) were carried out, through which cervical lymph nodes, mastoid bone invasion, and right jugular thrombosis were identified. A type 3 lateral temporal bone resection was performed with posterior adjuvant radiotherapy and the pathology of the resected tissue was reported as a SEC compromising the EAC with infiltration to the tympanic membrane, middle ear, and parotid gland, and involvement of the sternocleidomastoid and temporal muscles, without lymphovascular invasion. At follow up, no tumor recurrence was identified. To our knowledge this is the first case of SEC with invasion of the ear reported in Latin America.
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spelling doaj.art-99d7b6ad74e849df8dd1b653bddf8b632022-12-21T19:55:30ZengElsevierOtolaryngology Case Reports2468-54882021-03-0118100262Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin AmericaSantiago Hernández0Elisa Gutiérrez-Gómez1María Teresa Rodríguez-Ruiz2Mariam Carolina Rolón Cadena3Neuro-otology, Clínica Marly, Bogotá, ColombiaENT resident, Pontificia Universidad Javeriana, Bogotá, Colombia; Corresponding author.ENT resident, Pontificia Universidad Javeriana, Bogotá, ColombiaOncopathology, Fundación Santa Fe de Bogotá, Bogotá, ColombiaSyringoid eccrine carcinoma (SEC) is a rare, malignant, adnexal, and locally aggressive tumor. Due to their low incidence and non-specific clinical manifestation, these tumors are often misdiagnosed, even in the presence of specific histological findings. The involvement of the ear is exceptionally rare. Here we present the case of a male patient who arrived at our clinic with a non-painful nodular lesion that had developed over the course of month, located in the right external auditory canal (EAC) and post auricular area. Magnetic Resonance (MRI) and computed tomography (CT) were carried out, through which cervical lymph nodes, mastoid bone invasion, and right jugular thrombosis were identified. A type 3 lateral temporal bone resection was performed with posterior adjuvant radiotherapy and the pathology of the resected tissue was reported as a SEC compromising the EAC with infiltration to the tympanic membrane, middle ear, and parotid gland, and involvement of the sternocleidomastoid and temporal muscles, without lymphovascular invasion. At follow up, no tumor recurrence was identified. To our knowledge this is the first case of SEC with invasion of the ear reported in Latin America.http://www.sciencedirect.com/science/article/pii/S2468548821000023Skin neoplasmsNeoplasmsAdnexal and skin appendageHead and neck neoplasmsEar neoplasms. microsurgery
spellingShingle Santiago Hernández
Elisa Gutiérrez-Gómez
María Teresa Rodríguez-Ruiz
Mariam Carolina Rolón Cadena
Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
Otolaryngology Case Reports
Skin neoplasms
Neoplasms
Adnexal and skin appendage
Head and neck neoplasms
Ear neoplasms. microsurgery
title Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
title_full Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
title_fullStr Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
title_full_unstemmed Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
title_short Syringoid eccrine carcinoma involving the external ear canal and middle ear, first case report in Latin America
title_sort syringoid eccrine carcinoma involving the external ear canal and middle ear first case report in latin america
topic Skin neoplasms
Neoplasms
Adnexal and skin appendage
Head and neck neoplasms
Ear neoplasms. microsurgery
url http://www.sciencedirect.com/science/article/pii/S2468548821000023
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