Skip to main content
SpringerLink
Log in

Bilaterales Gehörgangskarzinom

Bilateral squamous cell carcinoma of the external auditory meatus

  • Kasuistik
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Weltweit wurden bisher nur vereinzelt Kasuistiken bilateraler Gehörgangskarzinome beschrieben. Wir berichten über den ungewöhnlichen Fall eines 72-jährigen männlichen Patienten mit einem bilateralen Gehörgangskarzinom im Tumorstadium I. Die Computertomographie des Felsenbeins zeigte eine seitengleiche altersgerechte Belüftung beider Mastoide. Die äußeren Gehörgänge waren partiell weichteildicht ausgekleidet. Ossäre Destruktionen waren radiologisch nicht darstellbar. Beidseits wurden die Gehörgangskarzinome in sano entfernt, offene Mastoidhöhlen angelegt und eine selektive Neck-Dissection der Regionen II–IV durchgeführt. Die histologische Aufarbeitung ergab mittelgradig differenzierte Plattenepithelkarzinome ohne Lymphknotenmetastasen (TNM-Klassifikation: pT1 G2 N0 M0 R0) auf beiden Seiten. Anschließend erfolgte eine Radiatio mit 59,4 Gy beidseits, die zu einer Stenosierung beider Gehörgänge führte. In dieser Arbeit wird die Diagnostik und Therapie beidseitiger Gehörgangskarzinome anhand des Fallbeispiels diskutiert.

Abstract

Only a small number of cases of bilateral carcinomas of the external ear canal have been described in the literature. We present the first case of a 72 year old male patient with a bilateral squamous cell carcinoma of the external ear canal at a very early stage. A computed tomography of the temporal bone revealed a well-pneumatized mastoid on both sides. Both external ear canals were filled with soft tissue without radiological signs of destruction of the adjacent bone. The carcinomas of the external ear canal were surgically removed using a canal-wall down technique and a selective neck dissection of regions II–IV. Histology confirmed a well differentiated squamous cell carcinoma of the external ear canal without lymph node metastasis on both sides (TNM classification: pT1 G2 N0 M0 R0). Bilateral radiation therapy with 59.4 Gy resulted in stenosis of both ear canals. Hearing rehabilitation was achieved with bone conductive hearing glasses. Diagnosis und therapy of bilateral external ear carcinomas are presented and discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Arriaga M, Curtin H, Takahashi H (1990) Staging proposal for external auditory meatus carcinoma based on preopative clinical examination and computed tomography findings. Ann Otol Rhinol Laryngol 99: 714–721

    Google Scholar 

  2. Austin J, Stewart K, Fawzi N (1994) Squamous cell carcinoma of the external auditory canal. Therapeutic prognosis based on a proposed staging system. Arch Otolaryngol Head Neck Surg 120: 1228–1232

    Google Scholar 

  3. Clark L, Narula A, Morgan D, Bradley P (1991) Squamous carcinoma of the temporal bone: a revised staging. J Laryngol Otol 105: 346–348

    Google Scholar 

  4. Conley J (1965) Cancer of the middle ear. Ann Otol Rhinol Laryngol 74: 555–572

    Google Scholar 

  5. Conley J, Schuller D (1975) Malignancies of the ear. Laryngoscope 85: 1147–1163

    Google Scholar 

  6. Crabtree J, Britton B, Pierce M (1976) Carcinoma of the external auditory canal. Laryngoscope 86: 405–415

    Google Scholar 

  7. Draf W (1994) Tumoren des Mittelohres. In: Naumann H, Helms J, Herberhold C, Kastenbauer E (Hrsg) Oto-Rhino-Laryngologie in Klinik und Praxis, Bd 1. Thieme, Stuttgart New York, S 701–726

  8. Gacek RR, Goodmann M (1977) Management of malignancy of the temporal bone. Laryngoscope 87: 1622–1634

    Google Scholar 

  9. Graham M, Sataloff R, Kemink J, Wolf G, McGillicuddy J (1984) Total en bloc resection of the temporal bone and carotid artery for malignant tumors of the ear and temporal bone. Laryngoscope 94: 528–533

    Google Scholar 

  10. Goodwin WJ, Jesse RH (1980) Malignant neoplasms of the external auditory canal and temporal bone. Arch Otolaryngol 106: 675–679

    Google Scholar 

  11. Hakata H, Ohashi T, Suzuki T (1976) Bilateral carcinoma of the ears. Arch Otolaryngol Head Neck Surg 102: 112–114

    Google Scholar 

  12. Hashi N, Shirato H, Omatsu T et al. (2000) The role of radiotherapy in treating squamous cell carcinoma of the external auditory canal, especially in early stages of disease. Radiother Oncol 56: 221–225

    Article  Google Scholar 

  13. Helms J (1996) Eingriffe bei Tumoren des Mittelohres. In: Naumann HH, Helms J, Herberhold C, Jahrsdoerfer RA, Kastenbauer ER, Panje WR, Tardy ME Jr (Hrsg) Ohr. Thieme, Stuttgart, New York, S 159

  14. Hilding DA, Selker R (1969) Total resection of the temporal bone for carcinoma. Arch Otolaryngol 89: 636–645

    Google Scholar 

  15. Hirsch BE (2002) Staging system revision. Arch Otolaryngol Head Neck Surg 128: 93–94

    Google Scholar 

  16. Kinney SE (1989) Squamous cell carcinoma of the external auditory canal. Am J Otol 10: 111–116

    Google Scholar 

  17. Kinney SE, Wood BG (1987) Malignancies of the external ear canal and temporal bone: surgical techniques and results. Laryngoscope 97: 158–164

    Google Scholar 

  18. Langnickel R, Held P (1992) Wertigkeit der MRT in der Diagnostik von Tumoren im Bereich des Schläfenbeins, des Nasopharynx, der Nase, der Nasennebenhöhlen und der kranialen Abschnitte des Parapharyngealraumes. Laryngorhinootologie 71: 283–292

    Google Scholar 

  19. Lewis J (1960) Cancer of the ear—a report of 150 cases. Laryngoscope 7: 551–579

    Google Scholar 

  20. Mann SB, Yande R, Arora MM, Dutta BN (1982) Bilateral basal cell carcinoma of the ears (a case report). Laryngol Otol 96: 951–954

    Google Scholar 

  21. Mandry G (1891) Über symmetrische primäre Carcinome. Brunsbeiträge zur klinischen Chirurgie 8: 589–596

  22. Miller D (1965) Cancer of the external auditory meatus. Laryngoscope 65: 448–461

    Google Scholar 

  23. Munk-Nielsen L, Hansen, HS (1991) Bilateral carcinoma of the external auditory meatus. J Laryngol Otol 105: 112–114

    Google Scholar 

  24. Paparella, M, Shumrick, D, Gluckman, J, Meyerhoff, W (1991) Otolayngology, 3rd edn. Saunders, Philadelphia London, pp 1253–1254

  25. Schwager K, Pfreundner L, Hoppe F, Baier G, Willner J, Baier K (2001) Das Karzinom des äußeren Gehörgangs und des Mittelohres als interdisziplinäre Herausforderung für Otochirurgie und Strahlentherapie. Laryngorhinootologie 80: 196–202

    Article  Google Scholar 

  26. Shockley W, Stucker F (1987) Squamous cell carcinoma of the external ear: A review of 75 cases. Arch Otolaryngol Head Neck Surg 97: 308–312

    Google Scholar 

  27. Stell PM (1984) Carcinoma of the external auditory meatus and middle ear. Clin Otolaryngol 9: 281–299

    Google Scholar 

  28. Stell PM, McCormick, MS (1985) Carcinoma of the external auditory meatus and middle ear. J Laryngol Otol 99: 847–850

    Google Scholar 

  29. Testa J, Fukuda Y, Kowalski L (1997) Prognostic factors in carcinoma of the external auditory canal. Arch Otolaryngol Head Neck Surg 123: 720–724

    Google Scholar 

  30. Tiwari R, Feenstra L, Karim A (1992) Temporal bone resections for carcinoma of the middle ear and external ear canal. Am J Surg 164: 648–659

    Google Scholar 

  31. Ußmüller J, Hartwein J, Rauchfuß A, Sanchez-Hanke M (2001) Das primäre Gehörgangskarzinom. HNO 49: 256–263

    Article  Google Scholar 

  32. Wolfe SG, Lai SY, Douglas G, Bigelow C (2002) Bilateral squamous cell carcinoma of the external auditory canals. Laryngoscope 112: 1003–1005

    Article  Google Scholar 

Download references

Interessenkonflikt:

Keine Angaben

Author information

Authors and Affiliations

  1. Klinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie der Ruhr-Universität Bochum

    S. Shagdarsuren, M. Schwaab, J. Lautermann &  H. Sudhoff

  2. Klinik für Strahlentherapie, St.-Josef-Hospital, Ruhr-Universität Bochum

    M. Kißler

  3. Klinik für Hals-, Nasen- und Ohrenheilkunde, Kopf- und Halschirurgie der Ruhr-Universität Bochum, St.-Elisabeth-Hospital, Bleichstraße 15, 44787, Bochum

    H. Sudhoff

Authors
  1. S. Shagdarsuren
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Schwaab
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Kißler
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. Lautermann
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. H. Sudhoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to H. Sudhoff.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shagdarsuren, S., Schwaab, M., Kißler, M. et al. Bilaterales Gehörgangskarzinom. HNO 54, 41–45 (2006). https://doi.org/10.1007/s00106-005-1220-7

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-005-1220-7

Schlüsselwörter

Keywords

Search

Navigation