Objective: To present a rare case of Adenoid Cystic Carcinoma of the external ear canal in a 73-year-old man, including its diagnosis and surgical management. : Methods Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A 73-year-old man who consulted due to decreased hearing on the right ear had a 4-year history of gradually enlarging mass occupying the right external auditory canal. Wide en bloc resection of the external auditory canal mass and superficial parotidectomy with facial nerve preservation was performed with final histopathology results of adenoid cystic carcinoma. Follow-up at 2 years has shown no signs or symptoms or recurrence. Conclusion Adenoid cystic carcinoma of the external ear canal is a very rare disease that can present similarly to other otologic infections. Early identification of symptoms, performance of necessary imaging, and timely biopsy are key to reducing misdiagnosis and improving the survival rate. Complete resection of the tumor with adequate margins is the recommended treatment due to its high rates for recurrence.
Carcinoma, Adenoid Cystic ; Ear Neoplasms

Objective: The Department of Health developed a program for Cervical Cancer Prevention and Control in the Philippines and this involves training of health care providers on Visual Inspection with Acetic Acid (VIA). The evaluation of this training program aims to determine the effectivity of the training workshop in increasing the knowledge and skills of healthcare providers in VIA and whether this would translate to practice in their workplaces. Method: The first run of the training program was evaluated and the approach used was Kirkpatrick’s model. Participants were asked to complete an evaluation questionnaire for Level 1 evaluation. A pre-test, post-test and performance checklist were accomplished for Level 2 evaluation. For Level 3 evaluation, randomly selected participants were interviewed via mobile phone. Data analysis involved descriptive methods and inferential statistics (T-test and McNemar test) for Level 2. Results: Level 1 evaluation demonstrated a high over-all satisfaction rating from the participants (x ?=4.59) and the training workshop was found to be relevant and useful to their practice. Level 2 evaluation showed a significant increase in the knowledge of the participants (P=.001) particularly in the core topics of cervical cancer epidemiology (P=.001) and VIA (P=.006). There was likewise a significant improvement in the performance of VIA from the first to the last patient encounter (P=.000). Level 3 evaluation showed that the participants interviewed have realized the importance of VIA Conclusion The training workshop was effective in increasing the knowledge base and clinical skills required of health care professionals who will provide cervical cancer screening services using visual inspection with acetic acid. As a direct effect of the increase in knowledge and skills, the participants have started to incorporate their new learnings into their practice.
Human ; Female