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Clinical and histological characteristics of melanocytic nevus in external auditory canals and auricles

  • Otology
  • Published:
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Abstract

Nevi, which consist of nevus cells arising from external auditory canals (EACs) and auricles, are rare and their characteristics are not thoroughly understood. The purpose of this study was to analyze the clinicopathological characteristics of melanocytic nevus (MN) in EACs and auricles. Medical records were reviewed in 35 cases with junctional, compound and intradermal nevi treated in Ajou University Hospital, Korea between 2001 and 2011. Patient demographic, location, shape, and diameter of nevi, and pathologic results were analyzed according to the location, EACs (23 cases) and auricles (12 cases). Female predominance was noted in both EAC (60.9 %, 14 cases) and auricular (75 %, 9 cases) nevi. The mean age of EAC nevi (37.1 years) was younger than that of auricular nevi (42.2 years). The chief complaint was a symptomless mass in both groups, mostly in dome-like gross appearances. The mean diameter of EAC and auricular nevi was 9.6 (3–16) mm and 12.2 (3–25) mm, respectively. Histological findings chiefly presented intradermal nevi in EACs (78.3 %) and auricles (83.3 %) which showed preference to older patients, in contrast to the compound type. All nevi including five cases with skin grafts were completely excised without any recurrence within the follow-up period (average 5.3 months). A possible dysplastic nevus was detected in only one case. All MNs in EACs or auricles reveal similar characteristics. Early and complete excision is recommended to avoid skin graft, functional problems, and the risk of malignant melanoma.

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References

  1. Stegmaier OC, Becker SW Jr (1960) Incidence of melanocytic nevi in young adults. J Invest Dermatol 34:125–129

    PubMed  CAS  Google Scholar 

  2. Grichnik JM, Rhodes AR, Sober AJ (2008) Benign neoplasias and hyperplasias of melanocytes. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ (eds) Fitzpatrick’s dermatology in general medicine, 7th edn. Mc Graw Hill Medical, New York, pp 1104–1109

    Google Scholar 

  3. Harrison SL, MacKie RM, MacLennan R (2000) Development of melanocytic nevi in the first three years of life. J Natl Cancer Inst 92:1436–1438

    Article  PubMed  CAS  Google Scholar 

  4. Pariser RJ (1998) Benign neoplasms of the skin. Med Clin North Am 82:1285–1307

    Article  PubMed  CAS  Google Scholar 

  5. Lee FP (2006) Pigmented nevus of the external auditory canal. Otolaryngol Head Neck Surg 135:124–128

    Article  PubMed  Google Scholar 

  6. Alves RV, Brandao FH, Aquino JE, Carvalho MR, Giancoli SM, Younes EA (2005) Intradermal melanocytic nevus of the external auditory canal. Braz J Otorhinolaryngol 71:104–106

    PubMed  Google Scholar 

  7. Oh JI, Kim HS, Choi KY, Cho SJ, Kim CW (2010) Characteristics of melanocytic nevus arising from the external auditory canal. Korean J Otorhinolaryngol-Head Neck Surg 53:84–88

    Article  Google Scholar 

  8. Kazikdas KC, Onal K, Kuehnel TS, Ozturk T (2006) An intradermal nevus of the external auditory meatus. Eur Arch Otorhinolaryngol 263:253–255

    Article  PubMed  Google Scholar 

  9. Fraser L, Smith WK (2009) Excisional technique for intradermal nevi of the external auditory canal. J Otolaryngol Head Neck Surg 38:501–503

    PubMed  Google Scholar 

  10. Adler N, Margulis A, Bauer BS (2009) Congenital pigmented nevi of the auricle: clinical experience and approach to treatment. Plast Reconstr Surg 124:1932–1939

    Article  PubMed  CAS  Google Scholar 

  11. Saad AG, Patel S, Mutasim DF (2005) Melanocytic nevi of the auricular region: histologic characteristics and diagnostic difficulties. Am J Dermatopathol 27:111–115

    Article  PubMed  CAS  Google Scholar 

  12. Lund HZ, Stobbe GD (1949) The natural history of the pigmented nevus: factors of age and anatomic location. Am J Pathol 25:1117–1155

    PubMed  CAS  Google Scholar 

  13. Mackie RM (2004) Disorders of the cutaneous melanocyte. In: Burns TF, Rook ATod (eds) Rook’s textbook of dermatology. Blackwell Science, Massachusetts, pp 38.5–38.9

    Google Scholar 

  14. Easton DF, Cox GM, Macdonald AM, Ponder BA (1991) Genetic susceptibility to naevi–a twin study. Br J Cancer 64:1164–1167

    Article  PubMed  CAS  Google Scholar 

  15. Pope DJ, Sorahan T, Marsden JR, Ball PM, Grimley RP, Peck IM (1992) Benign pigmented nevi in children. prevalence and associated factors: the West Midlands. UK Mole Study. Arch Dermatol 128:1201–1206

    Article  CAS  Google Scholar 

  16. Stegmaier OC (1959) Natural regression of melanocytic nevus. J Invest Dermatol 32:413–419

    Article  PubMed  CAS  Google Scholar 

  17. Naeyaert JM, Brochez L (2003) Clinical practice. Dysplastic nevi. N Engl J Med 349:2233–2240

    Article  CAS  Google Scholar 

  18. Herschorn A (2012) Dermoscopy for melanoma detection in family practice. Can Fam Physician 58:740–745

    PubMed  Google Scholar 

  19. Lloyd KM (1990) Bulky, benign tumor of the external auditory canal. Arch Dermatol 126:589–590

    Article  PubMed  CAS  Google Scholar 

  20. Sexton M, Sexton CW (1991) Recurrent pigmented melanocytic nevus. a benign lesion, not to be mistaken for malignant melanoma. Arch Pathol Lab Med 115:122–126

    PubMed  CAS  Google Scholar 

  21. Langrock ML, Hohenleutner U (2009) Congenital nevus of the left ear: partial earlobe resection and full-thickness skin graft. J Dtsch Dermatol Ges 7:472–473

    Article  PubMed  Google Scholar 

  22. Cohen BJ, Melisi J, Cohen MH (1990) Ear preservation in the surgical treatment of auricular melanoma. Head Neck 12:346–351

    Article  PubMed  CAS  Google Scholar 

  23. Ward NO, Acquarelli MJ (1968) Malignant melanoma of the external ear. Cancer 21:226–233

    Article  PubMed  CAS  Google Scholar 

  24. Sylven B, Hamberger CA (1950) Malignant melanoma of the external ear. report of 36 cases treated between 1928–1944. Ann Otol Rhinol Laryngol 59:631–647

    PubMed  CAS  Google Scholar 

  25. Wanebo HJ, Cooper PH, Young DV, Harpole DH, Kaiser DL (1988) Prognostic factors in head and neck melanoma. Effect of lesion location. Cancer 62:831–837

    CAS  Google Scholar 

  26. Benmeir P, Baruchin A, Weinberg A, Nahlieli O, Neuman A, Wexler MR (1995) Rare sites of melanoma: melanoma of the external ear. J Craniomaxillofac Surg 23:50–53

    Article  PubMed  CAS  Google Scholar 

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The authors have no conflicts of interests to declare.

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Authors and Affiliations

  1. Department of Otolaryngology, Ajou University School of Medicine, San 5, Wonchon-dong, Yeongtong-gu, 443-721, Suwon, Republic of Korea

    Hye Jin Lim, Yun Tae Kim, Oak-Sung Choo, Keehyun Park, Hun Yi Park & Yun-Hoon Choung

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  1. Hye Jin Lim
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  2. Yun Tae Kim
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  3. Oak-Sung Choo
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  4. Keehyun Park
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Correspondence to Yun-Hoon Choung.

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Lim, H.J., Kim, Y.T., Choo, OS. et al. Clinical and histological characteristics of melanocytic nevus in external auditory canals and auricles. Eur Arch Otorhinolaryngol 270, 3035–3042 (2013). https://doi.org/10.1007/s00405-013-2368-5

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  • DOI: https://doi.org/10.1007/s00405-013-2368-5

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