scholarly journals Apocrine Adenoma of the External Auditory Canal with Pseudoepitheliomatous Hyperplasia

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Masafumi Ohki ◽  
Shigeru Kikuchi

The tumors derived of the ceruminous gland in the external auditory canal are rare. Here, we report a case of a ceruminous adenoma (apocrine adenoma) with refractory chronic inflammation in the external auditory canal. A 46-year-old man presented with otorrhea, itching, and a foreign body sensation in his right ear. A soft reddish protruding lesion was revealed at the posterosuperior portion of the entry to the right external auditory canal by otoscopy. The skin lesion was endaurally resected; histopathology showed luminal structures in the middle to deep layer of the epidermis and inflammatory granulation below pseudoepitheliomatous hyperplasia. The walls of the luminal structures consisted of inner luminal secretory cells featuring apical decapitation secretion and outer myoepithelial cells. The patient was diagnosed with an apocrine adenoma. Three years after surgery, there has been no evidence of recurrence. Complete resection, including the deep layer of the epidermis, is necessary.

Author(s):  
Francisco Alves De Sousa ◽  
Ana Costa Silva ◽  
Ana Nóbrega Pinto ◽  
Cecília Almeida E. Sousa

<p>Foreign body sensation is a common complaint in the otorhinolaryngology emergency. Careful examination of the patient’s pharynx is mandatory, but sometimes the object is not visualized. In such scenario, it may be important to explore signs and symptoms indicating lower aerodigestive impaction. This work describes the case of a 73-year-old woman without relevant comorbidities attending to emergency care. She complained of a foreign body sensation on the right side of the throat after ingesting a meal, which motivated referral to otorhinolaryngology. Flexible transnasal nasopharyngoscopy was unremarkable and no foreign bodies were found. Auscultation was performed revealing low-pitch expiratory wheezing on her right hemithorax. The suspicion of bronchial foreign body was then raised, which was ultimately confirmed by imaging and bronchoscopy, showing an impacted pea on the right lower lobe bronchus. The stethoscope was hence determinant for detecting aspiration, by revealing consistent alterations. Its usage should be encouraged in similar scenarios, highlighting the role of this classic but sometimes forgotten tool. Importantly, higher neck/throat sensations should not exclude the possibility of a lower airway foreign body.</p>


2010 ◽  
Vol 55 (6) ◽  
pp. 578-583 ◽  
Author(s):  
Shannon Moffett ◽  
Charlotte Page Wills

2014 ◽  
Vol 4 (1) ◽  
pp. 33-35 ◽  
Author(s):  
Sudarshan Loka Reddy ◽  
Nagendra Kadapa

ABSTRACT Hamartomas of larynx are rare benign lesions which can be a rare cause for respiratory obstruction. This report highlights the case of a young female who presented with foreign body sensation and worm-like mass in throat of 10 years duration. On videolaryngoscopy, a pinkish polypoidal worm like mass was seen arising from the right side of epiglottis on the laryngeal surface. Endoscopic guided excision with cautery was done and the mass revealed hamartoma on histopathology. How to cite this article Reddy SL, Kadapa N. Worm in the Throat: Hamartoma Larynx. Int J Phonosurg Laryngol 2014;4(1):33-35.


2020 ◽  
Vol 18 (1) ◽  
pp. 64-66
Author(s):  
Anubhav Chauhan ◽  
◽  
Neha Gautam ◽  

Introduction. Myiasis is caused by larvae of flies infesting animal or human tissues and organs. Aim. In this report we present 2 cases of external ophthalmomyiasis by sheep botfly. Description of the cases. We report a case of two patients who presented with a history of foreign body sensation in the left and the right eye respectively. Slit lamp examination revealed larvae of Oestrus ovis (sheep botfly). In both cases, there was no contact history with sheep or goats. Signs of conjunctival inflammation and corneal involvement were absent in both cases. In most of the previous reports, corneal and conjunctival inflammation was present. Conclusion. Treatment for external ophthalmomyiasis is based on larvae removal and application of topical antibiotics and steroids.


2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Caleb H. Creswell ◽  
Tony L. Kille ◽  
Matthew R. Hoffman ◽  
Tabassum Kennedy ◽  
Seth H. Dailey

Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease. We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea. Flexible laryngoscopy demonstrated fullness of the right posterior pharyngeal wall and computed tomography (CT) showed a linear opaque foreign body extending from the level of the oropharynx to the thyroid ala. Further history elicited that he stabbed himself in the pharynx two years prior with a toothbrush following a command hallucination. The toothbrush was removed uneventfully via an external approach. The patient was discharged with psychiatry follow-up. This case is unusual due to the submucosal location of the foreign body and the length of retention. It demonstrates the atypical nature which patients with comorbid psychiatric illness may present following foreign body injury and the use of an external surgical approach for the removal of a retained foreign body based on CT reconstruction.


2018 ◽  
Vol 6 ◽  
pp. 2050313X1877714 ◽  
Author(s):  
Uzdan Uz ◽  
Ayca Tan ◽  
Onur Celik

Ceruminous adenoma is an extremely rare condition that arises in the external auditory canal. The right ear canal in a 32-year-old man was obstructed by a ceruminous adenoma mimicking otitis externa and its symptoms. The lesion was resected under microscopic view using a transcanal approach. There were no tumor-related symptoms postoperatively and he has been disease free for 1 year after surgery.


1996 ◽  
Vol 110 (5) ◽  
pp. 480-482 ◽  
Author(s):  
D. J. Santana-Hernandez ◽  
S. R. Ell ◽  
P. Da Costa ◽  
C. P. Macklin ◽  
S. S. M. Hussain

AbstractGiant polypoidal hamartomas of the pharynx and oesophagus are rare benign tumours of unknown origin, exceptionally arising from the oropharynx. We report the case of a 74-year-old man who developed sudden nausea and a foreign body sensation. Shortly afterwards he regurgitated a 25 × 3 × 1.5 cm pedunculated fleshy mass, still attached to the inside of his throat. The patient was anaesthetised, the mass traced to the right tonsillar fossa and adjacent oropharyngeal wall. The pedicle was clamped and the lesion excised. Histology was consistent with a giant oropharyngeal hamartoma. We discuss the pathogenesis and potential complications of this condition. The literature is reviewed.


2021 ◽  
pp. 9-9
Author(s):  
Sanjeev Krishan ◽  
Deepak Kumar Sharma ◽  
Anubhav Chauhan

A twenty-six year old male presented with a history of redness and foreign body sensation in the right eye for two days. He was diagnosed as acute infective conjunctivitis elsewhere the previous day and was given topical antibiotics, but his symptoms worsened. Ocular examination revealed a leech over the nasal sclera of the right eye being the culprit of his clinical features.


2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Chizu Saito ◽  
Takeharu Kanazawa ◽  
Takehiko Yamaguchi ◽  
Ken-ichi Nakamura ◽  
Keiichi Ichimura

Background. Pleomorphic adenoma (PA) is a benign tumour that mainly arises from salivary glands, and PA of the external auditory canal (EAC) is very rare. The objective of this study was to clarify the clinical presentation and treatment of PA of the EAC.Method. The authors present a case of PA arising from the EAC together with a literature review.Results. A 40-year-old man complained of hearing loss and foreign-body sensation of the right ear. Clinical and radiological examinations revealed a well-defined tumour limited to the EAC, with no connection to the parotid gland. Preoperative fine-needle aspiration cytology findings were characteristic of PA. The tumour was removed en bloc with the overlying skin.Conclusion. PA of the EAC is very rare, and methods to rule out malignancy before treatment are lacking. Thus, long-term follow-up is necessary, because malignant tumours are common in the EAC and PA has malignant potential.


1987 ◽  
Vol 101 (9) ◽  
pp. 940-945 ◽  
Author(s):  
Etsuo Yamamoto ◽  
Keisaku Tabuchi ◽  
Kazunori Mori

AbstractWe report a 55-years-old male with cerminous adenoma originating in the osseous part of the right external auditory canal, and describe the clinical features and surgical treatment.


Sign in / Sign up

Export Citation Format

Share Document