Squamous Cell Carcinoma and Basal Cell Carcinoma of the Ear Canal and Temporal Bone

Chapter

Abstract

Squamous cell carcinoma is the most common malignant tumor of the ear canal, middle ear, and temporal bone. That said, temporal bone cancer is rare, affecting only 1–2 persons/million population/year. Hearing loss, otalgia, and otorrhea are the classic triad of symptoms, but this triad is seen in only 10% of cases. Given its rarity, squamous cell carcinoma of the ear canal is often mistaken for otitis externa or media until biopsy is performed, confirming the diagnosis. Cross-sectional imaging, either CT, MRI, or both, is required to evaluate the extent of disease. The Pittsburgh staging system is used, and it is a reliable predictor of survival. Surgery is the primary treatment for these tumors, especially for early-stage disease. Postoperative radiotherapy is indicated for tumors staged T2 and higher, recurrent lesions, and for patients with positive margins, perineural and bone invasion, and lymph node metastasis. Preoperative chemotherapy and radiotherapy (CRT) has an emerging role for late-stage (T3 and T4) disease.

Keywords

Squamous cell carcinoma Basal cell carcinoma Temporal bone cancer Ear canal cancer Middle ear cancer Lateral temporal bone resection 

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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Head and Neck SurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonUSA

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