The Journal of Laryngology & Otology

Clinical Records

Squamous cell carcinoma in situ of the external auditory canal

Min-Tsan Shu a1c1 , Hung-Ching Lin a1 , Cheng-Chien Yang a1 and Kuo-Ming Chang a2
a1 Departments of Otolaryngology – Head and Neck Surgery, Mackay Memorial Hospital, Taipei, Taiwan
a2 Department of Pathology, Mackay Memorial Hospital, Taipei, Taiwan

Article author query
shu m-t   [PubMed][Google Scholar] 
lin h-c   [PubMed][Google Scholar] 
yang c-c   [PubMed][Google Scholar] 
chang k-m   [PubMed][Google Scholar] 


We report two cases of carcinoma in situ in the external auditory canal (EAC), presenting with symptoms such as pain, long-term itching of the ear, easy contact bleeding, canal otorrhea and hearing loss. Otoscopic examination revealed granulation tissue and a greyish-black tumour with irregular surface. The first patient had previously been diagnosed with otitis externa with persistent ear itching for the past three years. The second patient had received tympanoplasty for treatment of chronic otitis media on the right ear ten years ago. The first case was treated with wide excision, whereas the second patient received resection of the skin of the EAC together with its adjacent soft tissue, followed by skin grafting. No tumour recurrence was noted in the fourth and third post-operative year for the first and second patient respectively. We suggest that EAC carcinoma can be detected early and treated.

(Published Online May 24 2006)
(Accepted February 16 2006)

Key Words: Ear Canal; Carcinoma in Situ, Squamous Cell Carcinoma; Otitis Externa.

c1 Address for correspondence: Min-Tsan Shu, Department of Otolaryngology-Head and Neck surgery, Mackay Memorial Hospital, 92 Chung-Shan N Road, Sec.2, Taipei 10499, Taiwan, Republic of China. Fax: +886-2-25433642 E-mail: