Cavernous hemangioma of the external auditory canal

April 17, 2013
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Otoscopic Clinic

The differential diagnosisfor cavernous hemangioma of the external auditory canal includes attic cholesteatoma with aural polyp, glomus tumor, arteriovenous malformation, granulation tissue, and carcinoma of the EAC.

A 57-year-old woman visited our clinic with the complaint of right-sided ear pain for 10 days. Otoscopic examination revealed a purple mass at the roof of the medial part of the osseous external auditory canal (EAC), about 5 mm in diameter (figure). Temporal bone computed tomography (CT) scans showed that the tumor was limited to the EAC only. The tumor was removed via a postauriclular approach, and the pathologic diagnosis was a cavernous hemangioma. No tumor recurrence was seen at the 5-year follow-up visit.

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