Angioleiomyomas (ALMAs) are benign tumors that arise from smooth muscle cells that form the tunica media of vascular structures. To our knowledge, only five cases of ALMA of the external auditory canal (EAC) have been reported. We report the case of a 52-year-old man with left otalgia, otorrhea, auricular fullness, and hearing loss. On otomicroscopic examination, a reddish and smooth mass completely occluding the EAC was seen. Computed tomography scan showed a soft tissue mass with a complete opacification of the left EAC. A possible diagnosis of ALMA should be considered when finding a tumor inside the external ear canal. An accurate pathological examination should be performed to differentiate benign vascular ALMA from malignant leiomyosarcomas. Complete surgical excision is the treatment of choice in benign tumors.

Leiomyoma of the external auditory canal / Tombolini, M.; Ralli, M.; Carletti, R.; Greco, A.; de Vincentiis, M.. - In: THE JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY. - ISSN 1308-7649. - 15:1(2019), pp. 169-172. [10.5152/iao.2019.4743]

Leiomyoma of the external auditory canal

Tombolini M.
Primo
;
Ralli M.
Secondo
;
Carletti R.;Greco A.
Penultimo
;
de Vincentiis M.
Ultimo
2019

Abstract

Angioleiomyomas (ALMAs) are benign tumors that arise from smooth muscle cells that form the tunica media of vascular structures. To our knowledge, only five cases of ALMA of the external auditory canal (EAC) have been reported. We report the case of a 52-year-old man with left otalgia, otorrhea, auricular fullness, and hearing loss. On otomicroscopic examination, a reddish and smooth mass completely occluding the EAC was seen. Computed tomography scan showed a soft tissue mass with a complete opacification of the left EAC. A possible diagnosis of ALMA should be considered when finding a tumor inside the external ear canal. An accurate pathological examination should be performed to differentiate benign vascular ALMA from malignant leiomyosarcomas. Complete surgical excision is the treatment of choice in benign tumors.
2019
Angiomyoma; Ear canal; Head and neck neoplasms; Leiomyoma; Audiometry, Pure-Tone; Diagnosis, Differential; Ear Canal; Ear Diseases; Ear Neoplasms; Earache; Hearing Loss, Conductive; Humans; Leiomyoma; Male; Middle Aged; Tomography, X-Ray Computed; Treatment Outcome
01 Pubblicazione su rivista::01i Case report
Leiomyoma of the external auditory canal / Tombolini, M.; Ralli, M.; Carletti, R.; Greco, A.; de Vincentiis, M.. - In: THE JOURNAL OF INTERNATIONAL ADVANCED OTOLOGY. - ISSN 1308-7649. - 15:1(2019), pp. 169-172. [10.5152/iao.2019.4743]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1412729
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