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Verrucous carcinoma of the external auditory canal: a report of two cases

Year 2009, Volume: 31 Issue: 2, 155 - 159, 16.03.2009

Abstract

Abstract

Verrucous carcinoma can be observed in the genital part, nasal fossa and esophagus in addition to the larynx and oral cavity that is more commonly seen in men. Verrucous carcinoma of the ear is an extremely rare and special form of squamous cell carcinoma. There are only tree cases well documented in the literature related to the rarely observed verrucous carcinoma of the ear. We have described two cases of verrucous carcinoma on the tract. In etiology, tobacco and alcohol abuse and bad mouth hygiene have been put forward as the causes. Its diagnosis is rather difficult because while it may display invasive characteristic clinically, it may not give any malignity findings histologically and especially cytologically. Verrucous carcinomas exhibit low degree malignity biologically. A close cooperation between the surgeon and the pathologist is required in order to prevent mistaken diagnosis. Most resorted treatment method of verrucous carcinoma is surgery. However in the recent years, there have been treatment reports in the literature with the methods like suction, diathermy, cryosurgery and laser surgery. In this study, two male patients diagnosed with ‘‘Verrucous Carcinoma'' and age 45 and 26 respectively were involved and the literature was reviewed.

Keywords: Verrucous carcinoma, external auditory canal

 

Özet

Verrüköz karsinomalı sıklıkla genital bölge, nazal kavite, larenks, oral kavite ve özefagusda görülür. Erkeklerde kadınlara göre daha fazla izlenmektedir. Verrüköz karsinoma skuamöz hücreli karsinomanın özel bir formudur ve kulakta son derece nadir görülür. Literatürde kulakta verrüköz karsinomlu üç olgu bulunmaktadır. Etiyolojisinde sigara ve alkol kullanımı ile kötü oral hijyen rol oynamaktadır. Kliniğinin invaziv karakterde olması histolojik ve sitolojik olarak malignensi özelliklerini göstermemesi nedeni ile tanı konulması zor bir patolojidir. Verruköz karsinomaların biyolojik davranışı düşük dereceli maligniteler gibidir. Verruköz karsinomalar cerrahi olarak tedavi edilmekle birlikte son yıllarda suction benzeri metotlar, diathermi, krioterapi ve laserle yapılan tedavi seçenekleri de literatürde yer almaya başlamıştır. Bu çalışmada ‘‘Verrucous Carcinoma'' tanısı almış 45 ve 26 yaşlarında ki iki erkek hastayı literatür bilgilerinide gözden geçirilerek sunuldu.

Anahtar kelimeler: Verrüköz karsinoma, dış kulak yolu

References

  • Ackerman LV. Verrucous carcinoma of the oral cavity. Surgery 1948; 23: 670-7.
  • Kraus FT, Perez-Mesa.C: Verrucous carcinoma. Clinical and pathologic study of 105 cases involving oral cavity, larynx and genitalia. Cancer 1966; 19: 26-38.
  • Minielly JA, Harrison EG, Fontana RS, Payne WE. Verrucous squamous cell carcinoma of the oesophagus. Cancer 1967; 20: 2078- 87.
  • Proops DW, Hawke WM, van Nostrand AWP, Harwood AR, Lunan M. Verrucous carcinoma of the ear. Ann Otol Rhinol Laryngol 1984; 93: 385-8.
  • Orsini MA, Conner GH, Sharkey FE. Verrucous carcinoma of the middle ear. Trans Pa Acad Ophthalmol Otolaryngol 1981; 34: 36-8.
  • Robin, JL. Verrucous carcinoma of the larynx. Otolaryngol Head Neck Surg 1988; 98:593.
  • Van Nostrand AWP, Olofsson J. Verrucous carcinoma of the larynx. A clinical and pathologic study of 10 cases. Cancer 1966; 30: 691-702.
  • Batsakis JG: Tumours of the Head and Neck, 2nd ed. Williams & Wilkins, Baltimore 1981; 205.
  • Stafford ND, Frootko NJ. Verrucous carcinoma in the external auditory canal. Am J Otol 1986; 7: 443-5.
  • Regezi AJ, Sciubba J. Oral Pathology. Clinical-Pathologic Correlations. WB. Saunders Co. A Division of Harcourt Brace&Co. Philadelphia-London-Toronto-Montreal-Sydney- Tokyo, 2nd ed., 1993; 187.
  • Almaç A, Göze ÖF, Yüksel A, Şengül E, Eğilmez R. Larenksin verrüköz karsinomu. Türk Onkoloji Dergisi 1991; 6: 1197.
  • Ferlito, A. Diagnosis and treatment of verrucous squamous cell carsinoma of the larynx. A critical review. Ann Otol Rhinol Laryngol 1985; 94: 575.
  • Maw AR, Culler RJ, Slinger RP, Wysocki.GP. Verrucous carcinoma of the larynx. Clin Otolaryngol 1982; 7: 305-11.

Verrucous carcinoma of the external auditory canal: A report of two cases

Year 2009, Volume: 31 Issue: 2, 155 - 159, 16.03.2009

Abstract

Verrucous carcinoma can be observed in the genital part, nasal fossa and esophagus in addition to the larynx and oral cavity that is more commonly seen in men. Verrucous carcinoma of the ear is an extremely rare and special form of squamous cell carcinoma. There are only tree cases well documented in the literature related to the rarely observed verrucous carcinoma of the ear. We have described two cases of verrucous carcinoma on the tract. In etiology, tobacco and alcohol abuse and bad mouth hygiene have been put forward as the causes. Its diagnosis is rather difficult because while it may display invasive characteristic clinically, it may not give any malignity findings histologically and especially cytologically. Verrucuous carcinomas exhibit low degree malignity biologically. A close cooperation between the surgeon and the pathologist is required in order to prevent mistaken diagnosis. Most resorted treatment method of verrucous carcinoma is surgery. However in the recent years, there have been treatment reports in the literature with the methods like suction, diathermy, cryosurgery and laser surgery. In this study, two male patients diagnosed with ‘‘Verrucuous Carcinoma’’ and age 45 and 26 respectively were involved and the literature was reviewed.

References

  • Ackerman LV. Verrucous carcinoma of the oral cavity. Surgery 1948; 23: 670-7.
  • Kraus FT, Perez-Mesa.C: Verrucous carcinoma. Clinical and pathologic study of 105 cases involving oral cavity, larynx and genitalia. Cancer 1966; 19: 26-38.
  • Minielly JA, Harrison EG, Fontana RS, Payne WE. Verrucous squamous cell carcinoma of the oesophagus. Cancer 1967; 20: 2078- 87.
  • Proops DW, Hawke WM, van Nostrand AWP, Harwood AR, Lunan M. Verrucous carcinoma of the ear. Ann Otol Rhinol Laryngol 1984; 93: 385-8.
  • Orsini MA, Conner GH, Sharkey FE. Verrucous carcinoma of the middle ear. Trans Pa Acad Ophthalmol Otolaryngol 1981; 34: 36-8.
  • Robin, JL. Verrucous carcinoma of the larynx. Otolaryngol Head Neck Surg 1988; 98:593.
  • Van Nostrand AWP, Olofsson J. Verrucous carcinoma of the larynx. A clinical and pathologic study of 10 cases. Cancer 1966; 30: 691-702.
  • Batsakis JG: Tumours of the Head and Neck, 2nd ed. Williams & Wilkins, Baltimore 1981; 205.
  • Stafford ND, Frootko NJ. Verrucous carcinoma in the external auditory canal. Am J Otol 1986; 7: 443-5.
  • Regezi AJ, Sciubba J. Oral Pathology. Clinical-Pathologic Correlations. WB. Saunders Co. A Division of Harcourt Brace&Co. Philadelphia-London-Toronto-Montreal-Sydney- Tokyo, 2nd ed., 1993; 187.
  • Almaç A, Göze ÖF, Yüksel A, Şengül E, Eğilmez R. Larenksin verrüköz karsinomu. Türk Onkoloji Dergisi 1991; 6: 1197.
  • Ferlito, A. Diagnosis and treatment of verrucous squamous cell carsinoma of the larynx. A critical review. Ann Otol Rhinol Laryngol 1985; 94: 575.
  • Maw AR, Culler RJ, Slinger RP, Wysocki.GP. Verrucous carcinoma of the larynx. Clin Otolaryngol 1982; 7: 305-11.
There are 13 citations in total.

Details

Primary Language English
Journal Section Case Reports
Authors

Emine Altuntaş

Mehmet Yaşar

Mansur Doğan

Suphi Müderris

Fahrettin Göze

Publication Date March 16, 2009
Published in Issue Year 2009Volume: 31 Issue: 2

Cite

AMA Altuntaş E, Yaşar M, Doğan M, Müderris S, Göze F. Verrucous carcinoma of the external auditory canal: a report of two cases. CMJ. June 2009;31(2):155-159.