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Postgraduate Medical Journal 2003;79:300
© 2003 Fellowship of Postgraduate Medicine


SELF ASSESSMENT QUESTION

ENT medicine

Mass in the ear canal

S Ghosh 1, S K Singhal 2, Y V Ramana 2

1 Department of Ear, Nose, and Throat, PGIMER and Government Medical College, Chandigarh, India
2 Government Medical College, Chandigarh, India

Correspondence to:
Correspondence to:
Dr Shakuntala Ghosh, Department of Ear, Nose and Throat, PGIMER, Chandigarh, India;
venkatdoc@hotmail.com

Submitted 12 July 2002
Accepted 8 October 2002

Keywords: adenoid cystic carcinoma; external auditory canal

The first 150 words of the full text of this article appear below.

A 70 year old woman presented to outpatient department with a history of gradually progressive hearing loss in the right ear of one year’s duration. There was no history of ear discharge, pain, tinnitus, or vertigo. Examination revealed a firm, skin lined mass that was not tender and was confined to the ear canal. Facial nerve functions were intact. The patient was advised to come for a biopsy after routine investigations (radiography of her mastoids and chest and haematology), but she missed follow up. Eight months later she presented to the outpatient department again with the same auricular mass, which had increased in size and was protruding out of the ear canal as shown in the fig 1Go. Biopsy was performed, the mass was fleshy and moderately vascular and friable; microscopy findings are shown in the fig 2Go.


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Figure 1 Skin covered mass in the right external auditory . . . [Full text of this article]

 






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