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KMID : 0361020170600110575
Korean Journal of Otolaryngology - Head and Neck Surgery
2017 Volume.60 No. 11 p.575 ~ p.578
A Case of Squamous Cell Carcinoma Occurred in the External Auditory Canal Misdiagnosed as a Keratoacanthoma after Radiotherapy for Kimura¡¯s Disease
Choi Yoon-Seok

Song Si-Youn
Kim Yong-Dae
Bae Chang-Hoon
Abstract
Malignancy of the external auditory canal (EAC) is a rare tumor. Among the malignancies of EAC, squamous cell carcinoma (SCC) is the most common pathologic type. The causes of SCC of EAC may be exposure to ultraviolet rays, cholesteatoma, chronic otitis externa, and rarely radiotherapy. SCC of EAC has the diverse and non-specific clinical features including mass of tissue, otorrhea, otalgia, tinnitus, and facial palsy which make it difficult to distinguish between SCC and benign tumor. Recently, we experienced a case of SCC of EAC occurred in the left external auditory canal after radiotherapy for Kimura¡¯s disease, which was misdiagnosed as keratoacanthoma at first. The findings of this case suggest that when it is difficult to distinguish SCC from benign tumor of EAC, the excisional biopsy including enough resected margin and base of tumor is needed for an exact diagnosis.
KEYWORD
Keratoacanthoma, Radiotherapy, Squamous cell carcinoma
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