Melanoma of the Ear

Ravin, Adam G; Pickett, Nancy; Johnson, Jeffrey L.; Fisher, Samuel R.; Levin, Len; Seigler, Hilliard F.

doi:10.1097/01.sap.0000208960.96944.c9

Cited by 47 publications

(3 citation statements)

References 28 publications

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“…Among various histological types, superficial spreading type is the commonest variant found, and the median survival time is 7.9 years. 2 3…”

Section: Discussionmentioning

confidence: 99%

“…4 Neck node dissection is not recommended in node-negative patients. 3 Local recurrence and distant metastasis are not uncommon and have a very poor prognosis. In patients with extensive disease, the prescribed treatment modality includes wide local excision with lateral temporal bone resection, superficial parotidectomy, selective/functional neck dissection with postoperative radiation, and chemotherapy.…”

Section: Discussionmentioning

confidence: 99%

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Primary Malignant Melanoma Limited to the External Auditory Canal: A Rare Presentation

Samal

Preetam

Sahoo

2021

Annals of Otology and Neurotology

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Malignant melanoma limited to the external auditory canal is very rare. These patients present relatively late as compared with melanoma involving other subsites of external ear. However, the tumor is slow-growing but shows aggressive behavior with a poor prognosis when presented late. We have a 44-year-old female who presented with a blackish lesion, which was bleeding on and off from her left ear. She was managed with wide local excision, preserving maximum part of external auditory canal cartilage. The histopathology of the lesion was suggestive of malignant melanoma. After a thorough evaluation, she was kept under close follow-up. Malignant melanoma of external auditory canal shows poor prognosis usually, mainly because of late presentation. Thus, early diagnosis is crucial, as in our case, where wide local excision was sufficing, and the patient is disease-free after 4 years of follow-up.

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“…Among various histological types, superficial spreading type is the commonest variant found, and the median survival time is 7.9 years. 2 3…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Primary Malignant Melanoma Limited to the External Auditory Canal: A Rare Presentation

Samal

Preetam

Sahoo

2021

Annals of Otology and Neurotology

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“… 1 , 13 , 26 Early literature endorsed “prophylactic” neck dissection and/or parotidectomy 3 , 5 , 21 ; however, subsequent reports have failed to show survival or recurrence advantages for patients undergoing elective lymph node dissection. 1 , 27 …”

Section: Literature Reviewmentioning

confidence: 99%

A Systematic Review of Surgical Management of Melanoma of the External Ear

Sawyer

Wilson

Neumeister

2018

Plastic and Reconstructive Surgery - Global Open

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Background:Historically, external ear melanomas have been treated aggressively, due to early perceptions suggesting they had poor prognosis and aggressive biological behavior. More recent evidence has not supported these notions.Methods:We completed a complete review of the literature involving malignant melanoma of the external ear. We then completed a quantitative analysis on seventy-three cases from 8 reports that contained case-level data, assessing factors that influence recurrence, and assessing characteristics of the melanomas based on histological subtype. Baseline and outcomes data for all 20 studies were then compiled but not statistically evaluated.Results:In our subanalysis, patients who had recurrence were significantly more likely to have had wedge resection versus wide-local excision, and those with no recurrence were more likely to have undergone wide local excision. Nodular tumors had significantly greater thickness. Overall, conservative excisions provided excellent outcomes.Conclusions:Conservative treatment for external ear melanoma produces satisfactory outcomes. There is no evidence to support the use of radical amputation and little evidence to support the removal of cartilage or perichondrium. Sentinel lymph node biopsy is warranted only with positive nodes. There is no role for elective neck dissection. The roles for chemo/radiation therapy are unclear and guidelines for other cutaneous melanomas should be followed.

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The External Ear

Kennedy

2004

Rook's Textbook of Dermatology

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Melanoma of the Ear

Cited by 47 publications

References 28 publications

Primary Malignant Melanoma Limited to the External Auditory Canal: A Rare Presentation

Primary Malignant Melanoma Limited to the External Auditory Canal: A Rare Presentation

A Systematic Review of Surgical Management of Melanoma of the External Ear

The External Ear

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