1.Malignant melanoma of the ear canal presenting as wart
Rafiqahmed Vasiwala ; Ismail Burud
International e-Journal of Science, Medicine and Education 2016;10(1):47-48
Abstract: Malignant melanoma is a rare malignancy of
the external auditory canal. The vast majority of them
occur in the areas of the body that are exposed to the sun.
Early histological examination may possibly favor better
prognosis. We report a case of a 38-year-old female who
presented with a small mass in right ear canal, earache
and minimum discharge since 4 months. Initially
scraping was done in the ENT clinic. Subsequently she
had a wide excision done by the end aural approach at
a different hospital. A year later the patient presented
with a swelling involving the ear canal which extended
to the helix and supratemporal region with the histology
report as malignant melanoma. A literature review of
the disease, radiological findings, immunohistochemical
features and treatment options are discussed.
Melanoma
2.Embryonal rhabdomyosarcoma of the middle ear presenting with aural polyp and facial nerve palsy
Rafiqahmed Vasiwala ; Ismail Burud ; Siew Kheong Lum ; Rajveer Singh Saren
The Medical Journal of Malaysia 2015;70(5):314-315
Rhabdomyosarcoma is a rare tumour in the middle ear and
mastoid cavity in children and the diagnosis is difficult.
Repeated histological examination may be essential to
confirm the diagnosis. We report a 6 year old boy with a left
aural polyp, otorrhoea and facial nerve palsy who was
initially thought to have otitis media and mastoiditis. He had
polypectomy and the tissue taken for histopathology
suggested an inflammatory condition. Subsequently he had
mastoidectomy. Tissue taken during mastoidectomy was
however reported as rhabdomyosarcoma. The child
developed a cerebral abscess and eventually succumbed. A
literature review of the disease, radiological findings,
immunohistochemical features and treatment options is
described.
Rhabdomyosarcoma